Active NPI
Condon Chiropractic PLLC
Doing business as Chiropractic Life Cneter
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1518012202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27322 | CA | |
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ64181Z | Other | CA | BLUE CROSS |
Other names 2
- Chiropractic Life Cneter
- North Academy Chiropractic
National Provider Directory
National Provider Directory- Tax ID family
- Chiropractic Life Cneter
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1215505318
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.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1437742921
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.