Individual provider Active NPI

Konner James Ackerman, DC, CCSP, MS, ATC

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1114562535
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14246 Issued in TX
Practice address
2761 E Trinity Mills Rd Ste 100
Carrollton, TX 75006-3507
Phone
(206) 851-6873
NPI assigned
Nov 8, 2019
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14246 TX Primary

Addresses

Primary practice location

2761 E Trinity Mills Rd Ste 100
Carrollton, TX 75006-3507

Mailing address

4707 Manett St
Dallas, TX 75204-3319
Phone (206) 851-6873

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office@elevationsportsmed.com

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14246TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Spine and Sports Medicine PLLC Chiropractor Current Accepting new patients

Locations

2761 E Trinity Mills Rd
Ste 100
Carrollton, TX 75006
Phone (972) 478-7300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1114562535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 MANETT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043319",
            "telephone_number": "206-851-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2761 E TRINITY MILLS RD STE 100",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063507",
            "telephone_number": "206-851-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "KONNER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@elevationsportsmed.com",
            "affiliation": "N",
            "address_1": "2761 E Trinity Mills Rd Ste 100",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750063507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.