Active NPI
Tracy Kurtiss McConkey, D.C.
- Chiropractor
- Cokato, MN
National Provider Identifier
1811064140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2617
- Practice address
- 15703 US Highway 12 SW
Cokato, MN 55321-4624 - Phone
- (320) 286-2500
- Fax
- (320) 286-2501
- NPI assigned
- Nov 30, 2006
- Last updated
- Jan 14, 2013
- 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 | 2617 | MN | Primary |
Addresses
Primary practice location
15703 US Highway 12 SW
Cokato, MN 55321-4624
Mailing address
PO Box 206
Cokato, MN 55321-0206
Phone (320) 286-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732728500 | Medicaid | MN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2617 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Lakes Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Cokato, MN
- NPI 1831339936
-
- Chiropractor
- Annandale, MN
- NPI 1073808788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1811064140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 206",
"city": "COKATO",
"state": "MN",
"postal_code": "553210206",
"telephone_number": "320-286-2500",
"fax_number": "320-286-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15703 US HIGHWAY 12 SW",
"city": "COKATO",
"state": "MN",
"postal_code": "553214624",
"telephone_number": "320-286-2500",
"fax_number": "320-286-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONKEY",
"first_name": "TRACY",
"middle_name": "KURTISS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "732728500",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cokato, MN
- Jacqueline Ann Lasanen, LPN
- Alaina J Lund, CD(DONA)
- Kathryn Lundeen
- Jennifer Ray Mader, M.D.
- McConkey Chiropractic Clinic PA
- Meeker and Wright Special Education
- Angela Ruth Meredith, CMT
- Kiefer James Miller, DDS
- Minnesota Drug Acquisition Co LLC (Keaveny LTC Pharmacy #210)
- Nesseth Chiropractic Clinic PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.