Connor Thomas Wears, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7100 Issued in MN

Practice address

6885 Boudin St NE Ste 200
Prior Lake, MN 55372-2091

Phone

(651) 583-8971

Fax

(612) 682-4897

NPI assigned

Apr 3, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1013612530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 BOUDIN ST NE STE 200",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722091",
            "telephone_number": "651-583-8971",
            "fax_number": "612-712-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BOUDIN ST NE STE 200",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722091",
            "telephone_number": "651-583-8971",
            "fax_number": "612-682-4897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARS",
        "first_name": "CONNOR",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Van Rooyen
• Jessica A Vanderscoff, MD
• Amy Wander, RN, LSN
• Magdalena Eva Warren, DNP, FNP-C
• Scott Edward Wavinak, D.O.
• Karla Weber
• Katelyn Rae Webster, DDS
• Jessica Weideman
• William J. Weiers
• Karen Marie Weiler, MD

• Chiropractor in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.