Individual provider Active NPI

Connor McCormick, D.C.

  • Chiropractor
  • Pottstown, PA
National Provider Identifier
1750734034
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009739 Issued in GA
Practice address
92 Kemp Rd
Pottstown, PA 19465-7639
Phone
(610) 705-0201
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009739 GA Primary

Addresses

Primary practice location

92 Kemp Rd
Pottstown, PA 19465-7639

Mailing address

997 N Adams St
Pottstown, PA 19464-4145
Phone (610) 310-8659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190705000054 PA Practitioner - Chiropractic 1153656673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCM Mind Body CorporationGroup PAC ID 6800250408, 2 clinicians

Practice addresses (Care Compare)

92 Kemp Rd
Pottstown, PA 19465-7639
Phone (610) 705-0201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009739GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LCM Mind Body Corporation Chiropractor CurrentSince Jun 7, 2023 Accepting new patients
McCormick Chiropractic Main Line LLC Chiropractor Current Accepting new patients
McCormick Chiropractic Group Limerick Inc Chiropractor Current Accepting new patients
Clover Chiropractic SCM PC Chiropractor PastSince May 26, 2024 Accepting new patients
Mantario Chiropractor PastSince Jul 13, 2012 Accepting new patients

Locations

92 Kemp Rd
Pottstown, PA 19465
Phone (610) 705-0201

Organizations & group practices 5

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1750734034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 N ADAMS ST",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194644145",
            "telephone_number": "610-310-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 KEMP RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657639",
            "telephone_number": "610-705-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CONNOR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.