Active NPI
Conner Laraway
- Chiropractor
- Holyoke, MA
National Provider Identifier
1275090409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3639
- Practice address
- 512 Westfield Rd
Holyoke, MA 01040-1633 - Phone
- (413) 626-6272
- NPI assigned
- Feb 24, 2019
- 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 | 3639 | MA | Primary |
Addresses
Primary practice location
512 Westfield Rd
Holyoke, MA 01040-1633
Mailing address
1166 E Mountain Rd
Westfield, MA 01085-1405
Phone (413) 572-1219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190425000183 | MA | Practitioner - Chiropractic | 4284976101 | Practice locations: Holyoke, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
512 Westfield Rd
Holyoke, MA 01040-1633
Phone (413) 626-8479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1275090409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 E MOUNTAIN RD",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010851405",
"telephone_number": "413-572-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 WESTFIELD RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010401633",
"telephone_number": "413-626-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARAWAY",
"first_name": "CONNER",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-24",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.