Mark Konopka, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001999 Issued in CT

Practice address

88 Ryders LN
Suite 101
Stratford, CT 06614-1666

Phone

(203) 375-1101

Fax

(203) 375-1212

NPI assigned

May 5, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• CRK Wellness Solutions LLC

  • Health Service Clinic/Center
  • Stratford, CT
  • NPI 1003667510
  NPD

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443225600000",
    "number": "1902283328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 RYDERS LN",
            "address_2": "SUITE 101",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141666",
            "telephone_number": "203-375-1101",
            "fax_number": "203-375-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 RYDERS LN",
            "address_2": "SUITE 101",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141666",
            "telephone_number": "203-375-1101",
            "fax_number": "203-375-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPKA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William L King III, PT
• Kristen Michelle Kinslow, PA-C
• Bruce Roy Klein, MSW
• Satheesh Komma
• Christina Konopka
• Zachary F Korwin
• Olena Koval, PHARMD
• Kaho Kracke, MA, CCC-SLP
• Elena Krivulin
• Joel W Kunkel, MD

• Chiropractor in Stratford, CT
• Providers in Stratford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.