Conway Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CONWAY CHIROPRACTIC

Practice address

3614 E Southern Ave Ste A105
Mesa, AZ 85206-2509

Phone

(480) 863-3448

Fax

(480) 863-6202

NPI assigned

Jun 14, 2023

Organization subpart

Yes

Parent organization

CONWAY CHIROPRACTICAs reported in NPPES

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

Authorized official

Name

Jason R Conway, DCNPI 1508803651

Title

Owner

Phone

(480) 747-3102

Specialties & licenses 2

Addresses

Other names 1

• Optimal Spine and Pain Relief Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Jason R Conway, D.C

  • Chiropractor
  • Mesa, AZ
  • NPI 1508803651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1164106563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 E SOUTHERN AVE STE A105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062509",
            "telephone_number": "480-863-3448",
            "fax_number": "480-863-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 E SOUTHERN AVE STE A105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062509",
            "telephone_number": "480-863-3448",
            "fax_number": "480-863-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY CHIROPRACTIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONWAY CHIROPRACTIC",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-747-3102",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Spine and Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Spine and Pain Relief",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Consalus-Stucker, RN
• Consultants in Urology, LTD
• Xylene Contaoi, BCBA
• Contemporary Women'S Care PLC
• Brooklynn Nichole Contreras
• Jason R Conway, D.C
• Patrick Conway, OTR/L
• Crystal Conyers, P.T.
• Brooke Cook
• Bryan Paul Cook, RPH, MBA

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.