Individual provider Active NPI

Thomas John Kondner, D.C.,

  • Chiropractor
  • Hanover, PA
National Provider Identifier
1306841184
Registry record updated Dec 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004797-L Issued in PA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1306841184OtherPATYPE 1 NPI # INDIVIDUAL
1124143664OtherPATYPE 2 NPI # FOR BUSINESS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000441 PA Practitioner - Chiropractic 1658323118 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
DC-004797-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kondner Chiropractic Center Chiropractor CurrentSince Sep 14, 2012 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.

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.

Verify at the official NPI Registry.