Conrad Spine and Sport

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CONRAD SPINE AND SPORT

Practice address

8765 Stockard Dr Ste 901
Frisco, TX 75034-8009

Phone

(469) 552-5904

NPI assigned

Jan 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas D. Conrad, DC

Title

Owner

Phone

(469) 552-5904

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1881355303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WHITESTONE LN APT 1431",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243039",
            "telephone_number": "417-350-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 STOCKARD DR STE 901",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348009",
            "telephone_number": "469-552-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD SPINE AND SPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-552-5904",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1 NUMBER",
            "identifier": "1750054672",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drconrad@conradspineandsport.com",
            "affiliation": "N",
            "address_1": "8765 Stockard Dr Ste 901",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750348009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynne Connelly, N.N.P.
• Evelyn Christina Conner, CPNP-PC
• Claire Connor, DNP, CPNP, PC
• Amanda Conover
• Conquer Fitness and Performance LLC
• Nicholas Conrad, DC
• Lauren Constant, PT, DPT
• Ivy Lynn Constanza
• Consulting Physicians of Frisco LLC
• Contact Lens & Eye Care Gallery Inc

• Primary Care Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.