Conner Buckles, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13871 Issued in FL

Practice address

6320 Saint Augustine Rd Ste 10
Jacksonville, FL 32217-2813

Phone

(904) 320-0807

NPI assigned

Jun 10, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1235869520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 GATE PKWY W UNIT 1404",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172813",
            "telephone_number": "904-320-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "CONNER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Buckel
• Paul Michael Bucking, DMD, MD
• Cheryl Oamil Buckingham, PT
• William Buckingham, M.D.
• Jessica Buckler, CLC
• Jennifer Ann Bucklew, B.S
• Amy Anne Buckley, MSW
• Bernadette Buckley, PHD, ATC
• Jami Lea Gann Buckley, MD
• Kerry Louise Buckley, M.D.

• Chiropractor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.