Organization Active NPI

McConkey Chiropractic Clinic PA

  • Chiropractor
  • Cokato, MN
National Provider Identifier
1831339936
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCCONKEY CHIROPRACTIC CLINIC PA
Practice address
15703 US Highway 12 SW
Cokato, MN 55321-4624
Phone
(320) 286-2500
Fax
(320) 286-2501
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Tracy Kurtiss McConkey, D.C.
Title
Chiropractor
Phone
(320) 286-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 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

IdentifierTypeStateIssuer
732728500MedicaidMN

National Provider Directory

National Provider Directory

Locations

15703 US Highway 12 SW
Cokato, MN 55321
Phone (320) 286-2500

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1831339936",
    "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": {
        "organization_name": "MCCONKEY CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "MCCONKEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "KURTISS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "320-286-2500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732728500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cokato, MN

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.

Verify at the official NPI Registry.