Active NPI
Thomas John Kondner, D.C.,
- Chiropractor
- Hanover, PA
National Provider Identifier
1306841184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-004797-L
- Practice address
- 120 Broadway
Hanover, PA 17331-2513 - Phone
- (717) 630-9292
- Fax
- (717) 630-0488
- NPI assigned
- Jun 17, 2005
- Last updated
- Dec 24, 2016
- Sex
- Male
- Sole proprietor
- No
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 | DC-004797-L | PA | Primary |
Addresses
Primary practice location
120 Broadway
Hanover, PA 17331-2513
Mailing address
120 Broadway
Hanover, PA 17331-2513
Phone (717) 630-9292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306841184 | Other | PA | TYPE 1 NPI # INDIVIDUAL |
| 1124143664 | Other | PA | TYPE 2 NPI # FOR BUSINESS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
120 Broadway
Hanover, PA 17331-2513
Phone (717) 630-9292
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-004797-L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kondner Chiropractic Center | Chiropractor | Current | Accepting new patients |
Locations
120 Broadway
Hanover, PA 17331
Phone (717) 630-9292
Organizations & group practices 1
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.
-
- Chiropractor
- Hanover, PA
- NPI 1124143664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482537600000",
"number": "1306841184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BROADWAY",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312513",
"telephone_number": "717-630-9292",
"fax_number": "717-630-0488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BROADWAY",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312513",
"telephone_number": "717-630-9292",
"fax_number": "717-630-0488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONDNER",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.,",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2016-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-004797-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI # INDIVIDUAL",
"identifier": "1306841184",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI # FOR BUSINESS",
"identifier": "1124143664",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2016; 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.