Active NPI
Kevin Sean Conners, D.C.
- Chiropractor
- Woodbury, MN
National Provider Identifier
1699828210
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2372
- Practice address
- 7582 Currell Blvd
Woodbury, MN 55125-2262 - Phone
- (651) 739-1248
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2372 | MN | Primary |
Addresses
Primary practice location
7582 Currell Blvd
Woodbury, MN 55125-2262
Mailing address
11955 102ND St N
Stillwater, MN 55082-9108
Phone (651) 439-9518
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350056695 | Other | MN | RAILROAD MEDICARE NUMBER |
| 399527500 | Medicaid | MN | |
| 85784 | Other | MN | HEALTH-PARTNERS NUMBERSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivertown Health & Wellness, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Stillwater, MN
- NPI 1255520128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699828210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11955 102ND ST N",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550829108",
"telephone_number": "651-439-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7582 CURRELL BLVD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252262",
"telephone_number": "651-739-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNERS",
"first_name": "KEVIN",
"middle_name": "SEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "350056695",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "399527500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH-PARTNERS NUMBERSE",
"identifier": "85784",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.