Keegan Richard Conrad, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH14393 Issued in FL

Practice address

5290 Seminole Blvd Ste a
St Petersburg, FL 33708-3369

Phone

(727) 398-2988

NPI assigned

Jan 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1811768609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 BEAUMONT CT",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 SEMINOLE BLVD STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083369",
            "telephone_number": "727-398-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "KEEGAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Marie Connell, AU.D.
• Brenda Lee Connolly, ARNP
• Amanda Nicole Connor, PA-C
• Rosemarie Glennie Connor, M.S.W., L.C.S.W.
• James B. Connors, M.D.
• Sarah E Conroy, LCSW
• Erin Conte, LMHC
• John M Conti, DMD
• Continental Lifestyle Medicine, PLLC
• Continental Psychiatric Services, PLLC

• Chiropractor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Chiropractor in Florida

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