David M Coonrad, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

NJ38MC00144100 Issued in NJ

Practice address

625 From Rd
Paramus, NJ 07652-3500

Phone

(201) 634-9004

Fax

(201) 634-9690

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Columbia Institute Chiropractic, 1975

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Valley Natural Health LLC

  • Chiropractor
  • Paramus, NJ
  • NPI 1881164101
  Medicare reassignment NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1316090863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FROM RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523500",
            "telephone_number": "201-634-9004",
            "fax_number": "201-634-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 FROM RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523500",
            "telephone_number": "201-634-9004",
            "fax_number": "201-634-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONRAD",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "NJ38MC00144100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jose Contreras Castillo, M.D.
• Renzo Contreras
• Cynthia Rose Cook, BCBA
• Marissa Morae Cook
• Shaquana M Cook
• Hailey D Coonrad, D.C.
• Kathleen Cooper, BCBA
• Nancy Jeannette Cooper, R.D.
• Copesthesia Anesthesiology PLLC
• Lauren Corcoran, SLP

• Chiropractor in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.