Individual provider Active NPI

Alexa Evanka Kowaluk, DC

  • Chiropractor
  • Erie, CO
National Provider Identifier
1982320099
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008584 Issued in CO
Practice address
680 Mitchell Way Unit 160
Erie, CO 80516
Phone
(303) 469-2236
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008584 CO Primary

Addresses

Primary practice location

680 Mitchell Way Unit 160
Erie, CO 80516

Mailing address

1823 Cherry Blossom Dr Apt 204
Windsor, CO 80550-3065
Phone (503) 505-8423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0008584COMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1982320099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 CHERRY BLOSSOM DR APT 204",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805503065",
            "telephone_number": "503-505-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 MITCHELL WAY UNIT 160",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "80516",
            "telephone_number": "303-469-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALUK",
        "first_name": "ALEXA",
        "middle_name": "EVANKA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.