Organization Active NPI

Conover Chiropractic Center Inc.

  • Chiropractor
  • Newport News, VA
National Provider Identifier
1144409772
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001663 Issued in VA
Legal business name
CONOVER CHIROPRACTIC CENTER INC.
Practice address
11015 Warwick Blvd Ste 100
Newport News, VA 23601-3225
Phone
(757) 591-8834
Fax
(757) 591-2542
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Kevin L Conover, D.C.NPI 1093728966
Title
Vice President
Phone
(757) 591-8834

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 0104001663 VA Primary

Addresses

Primary practice location

11015 Warwick Blvd Ste 100
Newport News, VA 23601-3225

Mailing address

9610 Warwick Blvd
Newport News, VA 23601-4541
Phone (757) 591-8834

Other identifiers 1

IdentifierTypeStateIssuer
9531211MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000849 VA Part B Supplier - Clinic/Group Practice 9436317138 Receives reassigned benefits from 2 practitioners
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

9610 Warwick Blvd
Newport News, VA 23601
Phone (757) 591-8834

10866 Warwick Blvd
Newport News, VA 23601
Phone (757) 591-8834

11015 Warwick Blvd
#100
Newport News, VA 23601
Phone (757) 591-8834

Practitioners & affiliated clinicians

Practitioners 2

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1144409772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9610 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236014541",
            "telephone_number": "757-591-8834",
            "fax_number": "757-591-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 WARWICK BLVD STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236013225",
            "telephone_number": "757-591-8834",
            "fax_number": "757-591-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONOVER CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "757-591-8834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9531211",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.