Active NPI
Jeffrey Allen Conn, D.C.
- Chiropractor
- Clinton TWP, MI
National Provider Identifier
1780715995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005899
- Practice address
- 20742 Hall Rd
Clinton TWP, MI 48038-1537 - Phone
- (586) 468-4461
- Fax
- (586) 468-3636
- NPI assigned
- Mar 8, 2007
- Last updated
- Dec 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005899 | MI | Primary |
Addresses
Primary practice location
20742 Hall Rd
Clinton TWP, MI 48038-1537
Mailing address
20742 Hall Rd
Clinton TWP, MI 48038-1537
Phone (586) 468-4461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-0-E0-1938-0 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20742 Hall Rd
Clinton Township, MI 48038-1537
Phone (586) 468-4461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey a Conn DC PC | Chiropractor | Current | Accepting new patients |
Locations
20742 Hall Rd
Clinton Twp, MI 48038
Phone (586) 468-4461
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1780715995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20742 HALL RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381537",
"telephone_number": "586-468-4461",
"fax_number": "586-468-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20742 HALL RD",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480381537",
"telephone_number": "586-468-4461",
"fax_number": "586-468-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "95-0-E0-1938-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.