Individual provider Active NPI

Lucas Conroy, DC

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1780108571
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010530 Issued in MI
Practice address
6565 W Main St Ste 210
Kalamazoo, MI 49009-9148
Phone
(269) 459-7180
Fax
(269) 215-2004
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2301010530 MI Primary

Addresses

Primary practice location

6565 W Main St Ste 210
Kalamazoo, MI 49009-9148

Mailing address

5787 Stadium Dr Ste B
Kalamazoo, MI 49009-1903
Phone (269) 459-7180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907000837 MI Practitioner - Chiropractic 3476826892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5787 Stadium Dr
Suite B
Kalamazoo, MI 49009-1903
Phone 26945971801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Chiropractic and Wellness, PLLC Chiropractor CurrentSince May 1, 2023 Accepting new patients
Long Family Chiropractic Chiropractor CurrentSince May 11, 2025 Accepting new patients
Stroupe Chiropractic LLC Chiropractor Past Accepting new patients

Locations

1820 S Westnedge Ave
Kalamazoo, MI 49008
Phone (269) 344-5551

6565 W Main St
Ste 210
Kalamazoo, MI 49009
Phone (269) 353-3187

1820 S Westnedge Ave
Ste 1
Kalamazoo, MI 49008
Phone (269) 344-5551

5787 Stadium Dr
Ste B
Kalamazoo, MI 49009
Phone (269) 459-7180

Organizations & group practices 3

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": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1780108571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 STADIUM DR STE B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091903",
            "telephone_number": "269-459-7180",
            "fax_number": "269-215-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST STE 210",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099148",
            "telephone_number": "269-459-7180",
            "fax_number": "269-215-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.