Individual provider Active NPI

Connor King, PA-C

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1205442852
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9351 Grant St Ste 490
Thornton, CO 80229-4365
Phone
(303) 844-5000
NPI assigned
Sep 18, 2020
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CO Primary

Addresses

Primary practice location

9351 Grant St Ste 490
Thornton, CO 80229-4365

Mailing address

9351 Grant St Ste 490
Thornton, CO 80229-4365
Phone (303) 844-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231030000525 OH Practitioner - Physician Assistant 4789030669 Reassigns benefits to 1 organization
I20251111002424 CO Practitioner - Physician Assistant 4789030669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Urgent Care LLCGroup PAC ID 9032516778, 11 clinicians

Practice addresses (Care Compare)

3206 Broadway
Grove City, OH 43123-1932
Phone (614) 594-2900

9351 Grant St
Suite 490
Thornton, CO 80229-4365
Phone 3038445000104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehabilitation & Pain Specialists, PLLC CurrentSince Nov 3, 2025 Accepting new patients
Comprehensive Rehabilitation & Pain Specialists, PLLC. CurrentSince Nov 3, 2025 Accepting new patients
Comprehensive Rehabilitation & Pain Specialists, PLLC. Current Accepting new patients
Comprehensive Rehabilitation & Pain Specialists, PLLC Past Accepting new patients

Locations

8850 Ralston Rd
Arvada, CO 80002
Phone (303) 420-3233

9351 Grant St
Thornton, CO 80229
Phone (303) 286-4000

9351 Grant St
Ste 490
Thornton, CO 80229
Phone (303) 451-5271

Organizations & group practices 5

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1205442852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 490",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294365",
            "telephone_number": "303-844-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 GRANT ST STE 490",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294365",
            "telephone_number": "303-844-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CONNOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.