Active NPI
McConkey Chiropractic Clinic PA
- Chiropractor
- Cokato, MN
National Provider Identifier
1831339936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732728500 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Annandale, MN
- NPI 1265747455
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.