Individual provider Active NPI

Conn Daniel Bickhard, D.C.

  • Chiropractor
  • Wichita Falls, TX
National Provider Identifier
1750426268
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3083 Issued in TX
Practice address
4701 Southwest Pkwy Ste 18
Wichita Falls, TX 76310-3269
Phone
(940) 696-2262
Fax
(940) 691-0451
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 3083 TX Primary

Addresses

Primary practice location

4701 Southwest Pkwy Ste 18
Wichita Falls, TX 76310-3269

Mailing address

4701 Southwest Pkwy Ste 18
Wichita Falls, TX 76310-3269
Phone (940) 696-2262

Other identifiers 4

IdentifierTypeStateIssuer
8221730OtherTXBLUE LINK #
665600OtherTXACN GROUP, INC. #
3083OtherTXCHIRO. LICENSE #
601525OtherTXBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3083TXMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750426268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SOUTHWEST PKWY STE 18",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103269",
            "telephone_number": "940-696-2262",
            "fax_number": "940-691-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SOUTHWEST PKWY STE 18",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103269",
            "telephone_number": "940-696-2262",
            "fax_number": "940-691-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKHARD",
        "first_name": "CONN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "3083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK #",
            "identifier": "8221730",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP, INC. #",
            "identifier": "665600",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRO. LICENSE #",
            "identifier": "3083",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "601525",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.