Individual provider Active NPI

Conrad Davidson Adams, L.AC., D.C.

  • Acupuncturist
  • Arcadia, FL
National Provider Identifier
1407201015
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4669 Issued in FL
Practice address
301 N Brevard Ave
Arcadia, FL 34266-4501
Phone
(941) 426-9551
NPI assigned
May 2, 2016
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15620 FL
Acupuncturist 171100000X 4669 FL Primary

Addresses

Primary practice location

301 N Brevard Ave
Arcadia, FL 34266-4501

Mailing address

15467 Crystal Lake Dr
North Fort Myers, FL 33917-5656
Phone (310) 993-7662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305004584 CA Practitioner - Chiropractic 3173969771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical Center of Corona IncGroup PAC ID 4981904737, 10 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 203
Corona, CA 92882-2506
Phone (951) 737-1252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15620FLMDChiropractor
36237CAMDOrthodontics and Dentofacial Orthopedic Dentist
4669FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Center of Corona Inc. CurrentSince Jan 29, 2024 Accepting new patients
The Adams Chiropractic Clinic, Inc. Chiropractor PastSince Apr 9, 2015 Accepting new patients
Pirritano Chiropractic Corporation Chiropractor PastSince Feb 1, 2022 Accepting new patients

Locations

12598 Central Ave
Ste 120A
Chino, CA 91710
Phone (909) 464-9811

2250 S Main St
Ste 203
Corona, CA 92882
Phone (800) 595-2447

370 W 6th St
Ste 100
San Bernardino, CA 92401
Phone (909) 381-3492

32475 Clinton Keith Rd
Ste 108
Wildomar, CA 92595
Phone (951) 609-0399

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1407201015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15467 CRYSTAL LAKE DR",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339175656",
            "telephone_number": "310-993-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N BREVARD AVE",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342664501",
            "telephone_number": "941-426-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CONRAD",
        "middle_name": "DAVIDSON",
        "name_prefix": "Dr.",
        "credential": "L.AC., D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15620",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.