Active NPI
Joseph R Conigliaro, BS, DC, FACMUAP
- Chiropractor
- Fort Myers, FL
National Provider Identifier
1003896309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH15113
- Practice address
- 12468 Brantley Commons CT
Fort Myers, FL 33907-5663 - Phone
- (239) 292-6920
- NPI assigned
- Jan 20, 2006
- Last updated
- Feb 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2018030044 | MO | |
| Chiropractor | 111N00000X | CH15113 | FL | Primary |
| Chiropractor | 111N00000X | 01-04718 | KS |
Addresses
Primary practice location
12468 Brantley Commons CT
Fort Myers, FL 33907-5663
Mailing address
2125 SE 18TH Ave
Cape Coral, FL 33990-4707
Phone (239) 292-6920
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 627731 | Other | UHC ACN | |
| 7682235 | Other | AETNA REFERRAL | |
| 902504 | Other | BCBS KS | |
| 2583399 | Other | AETNA PROVIDER | |
| 4400698 | Other | UHC | |
| 29483017 | Other | BCBS KC |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH15113 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Valley Surgical Associates, LLC | Current | Accepting new patients | |
| Joseph R Conigliaro, DC | Chiropractor | Past | Accepting new patients |
| Gulf Coast Mua Physicians, LLC | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- joseph.conigliaro.1@31266.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cape Coral, FL
- NPI 1699621060
-
- Family Nurse Practitioner
- O'Fallon, MO
- NPI 1275916934
-
dba Kansas City Health & Wellness, LLC
- Chiropractor
- Overland Park, KS
- NPI 1124227152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1003896309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 SE 18TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339904707",
"telephone_number": "239-292-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12468 BRANTLEY COMMONS CT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075663",
"telephone_number": "239-292-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONIGLIARO",
"first_name": "JOSEPH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "BS, DC, FACMUAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2018030044",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH15113",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-04718",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC ACN",
"identifier": "627731",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA REFERRAL",
"identifier": "7682235",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KS",
"identifier": "902504",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "2583399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "4400698",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KC",
"identifier": "29483017",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.