Dr. Kevin P Conner, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH0008524 Issued in FL

Legal business name

DR. KEVIN P CONNER, PA

Practice address

7534 Congress St
New Port Richey, FL 34653-1105

Phone

(727) 847-3852

Fax

(727) 849-9900

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Patrick Conner, D.C.NPI 1093775314

Title

Owner/Pres

Phone

(727) 847-3852

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Congress Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Congress Chiropractic2 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.

• Pasco Medical Solutions LLC

  • Nurse Practitioner
  • New Port Richey, FL
  • NPI 1063235190
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Patrick Conner, DC CCSP

  • Chiropractor
  • New Port Richey, FL
  • NPI 1093775314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1609122142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7534 CONGRESS ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531105",
            "telephone_number": "727-847-3852",
            "fax_number": "727-849-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7534 CONGRESS ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346531105",
            "telephone_number": "727-847-3852",
            "fax_number": "727-849-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN P CONNER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "727-847-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0008524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381720200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093775314",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Congress Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.