Organization Active NPI

Conner Chiropractic Center PC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1780896373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONNER CHIROPRACTIC CENTER PC
Practice address
5320 N 16TH St
Suite 107
Phoenix, AZ 85016
Phone
(602) 234-2611
Fax
(602) 234-2612
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel W Conner, OC CC SP
Title
Doctor Owner President
Phone
(602) 234-2611

Specialties & licenses 1

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

Addresses

Primary practice location

5320 N 16TH St
Suite 107
Phoenix, AZ 85016

Mailing address

5320 N 16TH St
Suite 107
Phoenix, AZ 85016
Phone (602) 234-2611

Other identifiers 2

IdentifierTypeStateIssuer
AZ0086040OtherAZBLUE CROSS BLUE SHIELD OF
623260OtherACN UNITED HEALTH INC

National Provider Directory

National Provider Directory

Locations

5320 N 16th St
Ste 107
Phoenix, AZ 85016
Phone (602) 234-2611

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780896373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N 16TH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-234-2611",
            "fax_number": "602-234-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N 16TH ST",
            "address_2": "SUITE 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-234-2611",
            "fax_number": "602-234-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNER CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR OWNER PRESIDENT",
        "authorized_official_telephone_number": "602-234-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OC CC SP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "AZ0086040",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN UNITED HEALTH INC",
            "identifier": "623260",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.