Active NPI
Jason R Conway, D.C
- Chiropractor
- Mesa, AZ
National Provider Identifier
1508803651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8011
- Practice address
- 3614 E Southern Ave # a-105
Mesa, AZ 85206-2509 - Phone
- (480) 863-3448
- Fax
- (480) 863-6202
- NPI assigned
- May 31, 2006
- 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 | 8011 | AZ | Primary |
Addresses
Primary practice location
3614 E Southern Ave # a-105
Mesa, AZ 85206-2509
Mailing address
5705 E Hampton Cir
Mesa, AZ 85206-6746
Phone (480) 747-3102
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7205204 | Other | AZ | AETNA PROVIDER |
| 8011 | Other | AZ | LICENSE# |
| AZ0937301 | Other | AZ | BCBS PROVIDER NO |
| 3784 | Other | AZ | PHYSIO THERAPY LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3614 E Southern Ave
A 105
Mesa, AZ 85206-2509
Phone (480) 863-3448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Chiropractic | Chiropractor | Current | Accepting new patients |
| Compass Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Natural Life Centers, LTD. | Chiropractor | Past | Accepting new patients |
Locations
3614 E Southern Ave
#A105
Mesa, AZ 85206
Phone (480) 863-3448
3614 E Southern Ave
Ste A105
Mesa, AZ 85206
Phone (480) 654-2266
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 and National Provider Directory roles.
-
- Chiropractor
- Mesa, AZ
- NPI 1164106563
-
- Chiropractor
- Phoenix, AZ
- NPI 1053467860
-
- Chiropractor
- Avondale, AZ
- NPI 1659413979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1508803651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 E HAMPTON CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852066746",
"telephone_number": "480-747-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 E SOUTHERN AVE # A-105",
"city": "MESA",
"state": "AZ",
"postal_code": "852062509",
"telephone_number": "480-863-3448",
"fax_number": "480-863-6202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "8011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "7205204",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "8011",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO",
"identifier": "AZ0937301",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSIO THERAPY LICENSE#",
"identifier": "3784",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.