Organization Active NPI

Conkle Chiropractic Care LLC

  • Chiropractor
  • Pottstown, PA
National Provider Identifier
1871120675
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CONKLE CHIROPRACTIC CARE LLC
Practice address
871 N Hanover St Unit 10
Pottstown, PA 19464-1889
Phone
(610) 326-6811
Fax
(610) 326-6800
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Authorized official

Name
Dr. Ciera Conkle, DCNPI 1710533609
Title
Chiropractor/Owner
Phone
(484) 524-5318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

871 N Hanover St Unit 10
Pottstown, PA 19464-1889

Mailing address

871 N Hanover St Unit 10
Pottstown, PA 19464-1889
Phone (610) 326-6811

Other practice location 1

828 N Hanover St
Pottstown, PA 19464-4207
Phone (484) 524-5318

Other identifiers 1

IdentifierTypeStateIssuer
1710533609OtherNPI

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.charmhealth.com/
CONNECT URL officeally.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200724001018 PA Part B Supplier - Clinic/Group Practice 8729402607 Receives reassigned benefits from 1 practitioner
Practice locations: Pottstown, PA

National Provider Directory

National Provider Directory

Locations

871 N Hanover St
Ste 10
Pottstown, PA 19464
Phone (610) 326-6811

Practitioners & affiliated clinicians

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": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1871120675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 N HANOVER ST UNIT 10",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641889",
            "telephone_number": "610-326-6811",
            "fax_number": "610-326-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 N HANOVER ST UNIT 10",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194641889",
            "telephone_number": "610-326-6811",
            "fax_number": "610-326-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 N Hanover St",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194644207",
            "country_code": "US",
            "telephone_number": "484-524-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONKLE CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "CONKLE",
        "authorized_official_first_name": "CIERA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "484-524-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710533609",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.charmhealth.com/",
            "affiliation": "N",
            "address_1": "828 N Hanover St",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194644207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "officeally.com",
            "affiliation": "N",
            "endpointDescription": "online EHR system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "828 N Hanover St",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194644207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.