Kevin Connery, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7365 Issued in MN

Practice address

1865 W Wayzata Blvd Ste 200
Long Lake, MN 55356-4100

Phone

(952) 473-3588

NPI assigned

Jul 31, 2025

Last updated

Jul 31, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chirocenter Inc.

  • Chiropractor
  • Long Lake, MN
  • NPI 1871025031
  Medicare reassignment NPD
• Chirocenter MN, Inc.

  dba Uptown Chirocenter

  • Chiropractor
  • Minneapolis, MN
  • NPI 1629355755
  NPD (past)

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1891679262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 W WAYZATA BLVD STE 200",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553564100",
            "telephone_number": "952-473-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 W WAYZATA BLVD STE 200",
            "city": "LONG LAKE",
            "state": "MN",
            "postal_code": "553564100",
            "telephone_number": "952-473-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERY",
        "first_name": "KEVIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Kay Maas Bellingham, PA-C
• Anthony Walter Boe, DDS
• Centering Your Life Psychology PLLC
• Chirocenter Inc.
• Chiropractic First (ChiropracticUSA)
• Riley Sean Cullinane, DC
• Douglas J McNaught D D S P a (Long Lake Dental)
• Stephanie Drake, D.D.S.
• Alissa Huhn, PHARMD
• Jonathan Kodet, PHD,LP

• Chiropractor in Long Lake, MN
• Providers in Long Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.