Active NPI
John Thomas Connery, D.C
- Chiropractor
- Cuyahoga Falls, OH
National Provider Identifier
1144498379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2678
- Practice address
- 646 Portage TRL
Cuyahoga Falls, OH 44221-3034 - Phone
- (330) 928-3420
- Fax
- (330) 928-1110
- NPI assigned
- Feb 11, 2008
- Last updated
- Feb 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2678 | OH | Primary |
Addresses
Primary practice location
646 Portage TRL
Cuyahoga Falls, OH 44221-3034
Mailing address
646 Portage TRL
Cuyahoga Falls, OH 44221-3034
Phone (330) 928-3420
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000140533 | Other | OH | ANTHEM BCBS |
| 2091098 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2678 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levinson Family Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
646 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 928-3420
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.
-
- Chiropractor
- Cuyahoga Falls, OH
- NPI 1730407719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1144498379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "646 PORTAGE TRL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213034",
"telephone_number": "330-928-3420",
"fax_number": "330-928-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "646 PORTAGE TRL",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442213034",
"telephone_number": "330-928-3420",
"fax_number": "330-928-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNERY",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000140533",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2091098",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.