Organization Active NPI

Wayne P. Conlon & Laurie J. Conlon, Ptnrs

  • Chiropractor
  • Stuart, FL
National Provider Identifier
1518149558
Registry record updated Dec 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7972 Issued in FL
Legal business name
WAYNE P. CONLON & LAURIE J. CONLON, PTNRS
Practice address
5759 SE Federal Hwy
Stuart, FL 34997-8545
Phone
(772) 220-9565
Fax
(772) 220-0964
NPI assigned
Dec 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2007

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

Authorized official

Name
Dr. Wayne Peter Conlon, DC
Title
Owner/Chiropractor
Phone
(772) 220-9565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7972 FL Primary

Addresses

Primary practice location

5759 SE Federal Hwy
Stuart, FL 34997-8545

Mailing address

5759 SE Federal Hwy
Stuart, FL 34997-8545
Phone (772) 220-9565

Other identifiers 1

IdentifierTypeStateIssuer
K4326OtherFLMEDICARE GROUP ID

National Provider Directory

National Provider Directory

Locations

5759 SE Federal Hwy
Stuart, FL 34997
Phone (772) 220-9565

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1518149558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978545",
            "telephone_number": "772-220-9565",
            "fax_number": "772-220-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5759 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978545",
            "telephone_number": "772-220-9565",
            "fax_number": "772-220-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE P. CONLON & LAURIE J. CONLON, PTNRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-01",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "CONLON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "772-220-9565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "K4326",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.