Kondrad Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KONDRAD CHIROPRACTIC LLC

Practice address

3220 Clark Rd
Sarasota, FL 34231

Phone

(941) 923-4357

Fax

(941) 923-9943

NPI assigned

Oct 22, 2019

Organization subpart

No

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

Authorized official

Name

Kristopher Scott Kondrad, DCNPI 1790025450

Title

Owner

Phone

(302) 562-3314

Specialties & licenses 1

Addresses

Other names 1

• Brandywine Health Center LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher Scott Kondrad, D.C.

  • Chiropractor
  • Sarasota, FL
  • NPI 1790025450
  Medicare reassignment Care Compare group NPD Authorized official
• Lisette Miller Kondrad, D.C.

  • Chiropractor
  • Sarasota, FL
  • NPI 1336489095
  Medicare reassignment Care Compare group NPD
• Christopher Lowe Hicklin, DC

  • Chiropractor
  • Sarasota, FL
  • NPI 1760476816
  NPD

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1093358186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342318302",
            "telephone_number": "941-923-4357",
            "fax_number": "941-923-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 CLARK RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-923-4357",
            "fax_number": "941-923-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONDRAD CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2023-09-06",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "KONDRAD",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-562-3314",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine Health Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Steven Kolega
• Stacey Lynn Kollet, CRNP
• Louis Bernard Kolupa, RPH
• Gary Kompothecras, DC
• Rachel Kondek, PA-C
• Kristopher Scott Kondrad, D.C.
• Lisette Miller Kondrad, D.C.
• Thomas J Konecny, DDS
• Brandon David Konkel, M.D.
• Courtney Renae Konkel, D.O.

• Chiropractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.