Individual provider Active NPI

Chad M Conley, DC

  • Chiropractor
  • Fitchburg, WI
National Provider Identifier
1275759284
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4107 Issued in WI
Practice address
2961B Yarmouth Greenway Dr
Ste. B
Fitchburg, WI 53711-5809
Phone
(608) 770-0273
NPI assigned
Apr 18, 2007
Last updated
May 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4107 WI Primary

Addresses

Primary practice location

2961B Yarmouth Greenway Dr
Ste. B
Fitchburg, WI 53711-5809

Mailing address

2961B Yarmouth Greenway Dr
Ste. B
Fitchburg, WI 53711-5809
Phone (608) 770-0273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000277 WI Practitioner - Chiropractic 8022114222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ford Chiropractic Clinic, S.C.Group PAC ID 8527234772, 3 clinicians

Practice addresses (Care Compare)

3108 Church St
Stevens Point, WI 54481-5305
Phone (715) 341-0910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4107WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ford Chiropractic Clinic, S.C. Chiropractor CurrentSince Aug 17, 2017 Accepting new patients
Luedtke-Storm-Mackey Chiropractic Clinic SC Chiropractor PastSince Nov 13, 2022 Accepting new patients

Locations

3108 Church St
Stevens Point, WI 54481
Phone (715) 341-0910

Organizations & group practices 3

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1275759284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961B YARMOUTH GREENWAY DR",
            "address_2": "STE. B",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-770-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961B YARMOUTH GREENWAY DR",
            "address_2": "STE. B",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-770-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "CHAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.

Verify at the official NPI Registry.