Individual provider Active NPI

Juan Carlos Conde, D.C.

  • Neurology Chiropractor
  • Delray Beach, FL
National Provider Identifier
1831260660
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH8999 Issued in FL
Practice address
401 W Atlantic Ave
Suite 14
Delray Beach, FL 33444-3689
Phone
(561) 330-6096
Fax
(561) 330-6097
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X CH8999 FL Primary

Addresses

Primary practice location

401 W Atlantic Ave
Suite 14
Delray Beach, FL 33444-3689

Mailing address

16279 Sierra Palms Dr
Delray Beach, FL 33484-6406
Phone (561) 498-0147

Other identifiers 1

IdentifierTypeStateIssuer
64163OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060420000275 FL Practitioner - Chiropractic 6709895741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conde Center for Chiropractic Neurology IncGroup PAC ID 8628087665, 3 clinicians

Practice addresses (Care Compare)

401 W Atlantic Ave
Suite 014
Delray Beach, FL 33483-3689
Phone (561) 330-6096

401 W Atlantic Ave
Suite 14
Delray Beach, FL 33444-3689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conde Center for Chiropractic Neurology Inc Neurology CurrentSince Mar 6, 2006 Accepting new patients
Complete Well Being Neurology CurrentSince Oct 1, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1831260660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16279 SIERRA PALMS DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846406",
            "telephone_number": "561-498-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W ATLANTIC AVE",
            "address_2": "SUITE 14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443689",
            "telephone_number": "561-330-6096",
            "fax_number": "561-330-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH8999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64163",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.

Verify at the official NPI Registry.