Individual provider Active NPI

Eric Joseph Conner, DC

  • Chiropractor
  • Toledo, OH
National Provider Identifier
1629567136
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-05078 Issued in OH
Practice address
1850 Eastgate Rd Ste I
Toledo, OH 43614-3024
Phone
(419) 385-0002
NPI assigned
May 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010680 MI
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-05078 OH Primary

Addresses

Primary practice location

1850 Eastgate Rd Ste I
Toledo, OH 43614-3024

Mailing address

1850 Eastgate Rd
Toledo, OH 43614-3082
Phone (419) 385-0002

Other practice location 1

29100 Gateway Blvd Ste 100
Flat Rock, MI 48134-2764
Phone (313) 670-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180614002183 MI Practitioner - Chiropractic 5092060079 Reassigns benefits to 1 organization
I20240325001302 OH Practitioner - Chiropractic 5092060079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McMahon Chiropractic and Acupuncture LLCGroup PAC ID 1153552005, 2 clinicians

Practice addresses (Care Compare)

1850 Eastgate Rd
Suite I
Toledo, OH 43614-3024
Phone (419) 385-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-05078OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McMahon Chiropractic & Acupuncture LLC Chiropractor CurrentSince Mar 12, 2024 Accepting new patients
Porter & Clark Chiropractic PLLC Chiropractor CurrentSince May 30, 2019 Accepting new patients
Awan and Associates PC Single Specialty PastSince May 30, 2019 Accepting new patients

Locations

29100 Gateway Blvd
Ste 100
Flat Rock, MI 48134
Phone (734) 379-9200

1850 Eastgate Rd
Ste I
Toledo, OH 43614
Phone (419) 385-0002

1833 Eastgate Rd
Toledo, OH 43614
Phone (419) 385-0002

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1629567136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 EASTGATE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143082",
            "telephone_number": "419-385-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 EASTGATE RD STE I",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143024",
            "telephone_number": "419-385-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29100 Gateway Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Flat Rock",
            "state": "MI",
            "postal_code": "481342764",
            "country_code": "US",
            "telephone_number": "313-670-1367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "ERIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010680",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-05078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.