Individual provider Active NPI

Nicole Christian Conragan, DC

  • Chiropractor
  • Morgan Hill, CA
National Provider Identifier
1780619437
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24310 Issued in CA
Practice address
16375 Monterey St
Ste. B
Morgan Hill, CA 95037-5442
Phone
(408) 778-3020
Fax
(408) 778-0803
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC24310 CA Primary

Addresses

Primary practice location

16375 Monterey St
Ste. B
Morgan Hill, CA 95037-5442

Mailing address

16375 Monterey St
Ste. B
Morgan Hill, CA 95037-5442
Phone (408) 778-3020

Other identifiers 1

IdentifierTypeStateIssuer
DC0243100OtherCABLUE SHIELD OF CA

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
DC24310CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780619437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16375 MONTEREY ST",
            "address_2": "STE. B",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375442",
            "telephone_number": "408-778-3020",
            "fax_number": "408-778-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16375 MONTEREY ST",
            "address_2": "STE. B",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950375442",
            "telephone_number": "408-778-3020",
            "fax_number": "408-778-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAGAN",
        "first_name": "NICOLE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "DC0243100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.