NPIMap

Organization Active NPI

Dr Craig Conner Chiropractic LLC

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1609992122
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006029728 Issued in MO
Legal business name
DR CRAIG CONNER CHIROPRACTIC LLC
Practice address
2705 Highway K
O Fallon, MO 63368-7864
Phone
(636) 978-6995
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Craig Conner, DC
Title
Owner
Phone
(636) 978-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2006029728 MO Primary

Addresses

Primary practice location

2705 Highway K
O Fallon, MO 63368-7864

Mailing address

54 Mallard Pointe Dr
O Fallon, MO 63368-8312
Phone (636) 978-6995

National Provider Directory

National Provider Directory

Locations

2705 Highway K
O Fallon, MO 63368
Phone (636) 978-6955

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1609992122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MALLARD POINTE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688312",
            "telephone_number": "636-978-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687864",
            "telephone_number": "636-978-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CRAIG CONNER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-978-6995",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006029728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.