Kenneth Joseph Connor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC21926 Issued in CA

Practice address

1670 Santa Ana Ave Ste G
Costa Mesa, CA 92627-3840

Phone

(949) 642-0888

Fax

(949) 606-7227

NPI assigned

Oct 24, 2007

Last updated

Oct 24, 2007By 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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1770762981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 SANTA ANA AVE STE G",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273840",
            "telephone_number": "949-642-0888",
            "fax_number": "949-606-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SANTA ANA AVE STE G",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273840",
            "telephone_number": "949-642-0888",
            "fax_number": "949-606-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Spine and Wellness Group, Inc
• Annette Conde, BCBA
• Melanie Wheeler Connell, MPT, MTC
• Connor Upper Cervical Chiro of So Cal
• Connor Upper Cervical Chiropractic of Southern California
• Nicholas Conroy
• Consumerhealth, Inc. (Newport Dental - Costa Mesa)
• Consumerhealth, Inc. (Newport Dental - Costa Mesa (ORTHO))
• Ivonne Contreras-Ortiz
• Jessica Contreras

• Chiropractor in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Chiropractor in California

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