Individual provider Active NPI

Daniel Robert Conway, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1740361971
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3511 Issued in MN
Practice address
2201 Hennepin Ave
Minneapolis, MN 55405-2738
Phone
(612) 377-7760
Fax
(612) 374-3331
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3511 MN Primary

Addresses

Primary practice location

2201 Hennepin Ave
Minneapolis, MN 55405-2738

Mailing address

2201 Hennepin Ave S.
Minneapolis, MN 55405
Phone (612) 377-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719001555 MN Practitioner - Chiropractic 6901885284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Natural Care Center PAGroup PAC ID 7517947211, 2 clinicians

Practice addresses (Care Compare)

2201 Hennepin Ave
Minneapolis, MN 55405-2738
Phone (612) 377-7760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3511MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Natural Care Center, P.a. Chiropractor CurrentSince Jul 13, 2004 Accepting new patients
Northwestern Health Sciences University Past Accepting new patients

Locations

2201 Hennepin Ave
Minneapolis, MN 55405
Phone (612) 216-3500

Interoperability endpoints

  • Direct secure messaging: daniel.conway.1@29676.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740361971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HENNEPIN AVE S.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55405",
            "telephone_number": "612-377-7760",
            "fax_number": "612-374-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052738",
            "telephone_number": "612-377-7760",
            "fax_number": "612-374-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, 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.
  • 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.