Organization Active NPI

Conover Chiropractic,PC

  • Chiropractor
  • Amherst, NY
National Provider Identifier
1114122850
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005754-1 Issued in NY
Legal business name
CONOVER CHIROPRACTIC,PC
Practice address
2107 Eggert Rd
Amherst, NY 14226-2003
Phone
(716) 831-0011
Fax
(716) 831-0012
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Keith V Conover, D.C.NPI 1982632873
Title
Owner
Phone
(716) 831-0011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X005754-1 NY Primary

Addresses

Primary practice location

2107 Eggert Rd
Amherst, NY 14226-2003

Mailing address

2107 Eggert Rd
Amherst, NY 14226-2003
Phone (716) 831-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000413 NY Part B Supplier - Clinic/Group Practice 2769564475 Receives reassigned benefits from 1 practitioner
Practice locations: Amherst, NY

National Provider Directory

National Provider Directory

Locations

4276 Maple Rd
Amherst, NY 14226

4276 Maple Rd
Ste 3
Buffalo, NY 14226
Phone (716) 831-0011

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114122850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 EGGERT RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262003",
            "telephone_number": "716-831-0011",
            "fax_number": "716-831-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 EGGERT RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262003",
            "telephone_number": "716-831-0011",
            "fax_number": "716-831-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONOVER CHIROPRACTIC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-831-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005754-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.