Organization Active NPI

Condon Chiropractic PLLC

Doing business as Chiropractic Life Cneter

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1518012202
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONDON CHIROPRACTIC PLLC
Doing business as
Chiropractic Life Cneter
North Academy Chiropractic
Practice address
7146 N Academy Blvd
Colorado Springs, CO 80920-3185
Phone
(719) 434-1246
Fax
(719) 434-1374
NPI assigned
Jan 24, 2007
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. John Paul Condon, DC
Title
Owner/Manager
Phone
(760) 815-1833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC27322 CA
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7146 N Academy Blvd
Colorado Springs, CO 80920-3185

Mailing address

7146 N Academy Blvd
Colorado Springs, CO 80920-3185
Phone (719) 434-1246

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ64181ZOtherCABLUE CROSS

Other names 2

  • Chiropractic Life Cneter Doing business as
  • North Academy Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chiropractic Life Cneter2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1518012202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7146 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203185",
            "telephone_number": "719-434-1246",
            "fax_number": "719-434-1374"
        },
        {
            "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": "719-434-1246",
            "fax_number": "719-434-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDON CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "760-815-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27322",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ64181Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Life Cneter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Academy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.