Individual provider Active NPI

Lara Condon, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1437742921
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0008172 Issued in CO
Practice address
7146 N Academy Blvd
Colorado Springs, CO 80920-3185
Phone
(719) 434-1374
NPI assigned
Feb 16, 2021
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0008172 CO Primary

Addresses

Primary practice location

7146 N Academy Blvd
Colorado Springs, CO 80920-3185

Mailing address

13904 Sierra Star CT
Colorado Springs, CO 80921-2976
Phone (760) 644-6757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0008172COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Condon Chiropractic PLLC Chiropractor CurrentSince Jun 22, 2021 Accepting new patients
Condon Chiropractic PLLC Chiropractor CurrentSince Feb 21, 2021 Accepting new patients

Locations

7146 N Academy Blvd
Colorado Springs, CO 80920
Phone (719) 434-1246

Organizations & group practices 2

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1437742921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 SIERRA STAR CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809212976",
            "telephone_number": "760-644-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7146 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203185",
            "telephone_number": "719-434-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "LARA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0008172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.