Donald Jordan Conrad, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

011453 Issued in NY

Practice address

7060 Erie Rd
Suite 300
Derby, NY 14047-9416

Phone

(716) 947-0139

Fax

(716) 947-0320

NPI assigned

Jul 24, 2008

Last updated

Nov 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Genesis Chiropractic, P.C.

  • Chiropractor
  • Buffalo, NY
  • NPI 1043484892
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1770748246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 MAIN ST",
            "address_2": "STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215851",
            "telephone_number": "716-580-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 ERIE RD",
            "address_2": "SUITE 300",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479416",
            "telephone_number": "716-947-0139",
            "fax_number": "716-947-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "DONALD",
        "middle_name": "JORDAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay F. Clark, D.D.S.
• Denise Clouse, PHARMACIST
• Cory Joseph Coleman, RPH
• Dakota Rose Coles, NP
• Nico Conorozzo
• Jean Colleen Cosenza
• Tina Lyon Dell, M.ED., NCC, LMHC
• Dent Neurologic Group, LLP (Dent Neurologic Institute)
• Eric Dibben, PA
• Douglas D Hage MD PC

• Chiropractor in Derby, NY
• Providers in Derby, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.