Active NPI
Dennis Lane Conway, D.C.
- Chiropractor
- Creve Coeur, IL
National Provider Identifier
1972533867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 200 N Highland St
Creve Coeur, IL 61610-3976 - Phone
- (309) 694-3565
- NPI assigned
- Jul 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
200 N Highland St
Creve Coeur, IL 61610-3976
Mailing address
1793 Monroe St
Galesburg, IL 61401-1566
Phone (309) 337-7724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06607 | IA | MD | Social Worker |
| 038-009821 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972533867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1793 MONROE ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011566",
"telephone_number": "309-337-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N HIGHLAND ST",
"city": "CREVE COEUR",
"state": "IL",
"postal_code": "616103976",
"telephone_number": "309-694-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "DENNIS",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Creve Coeur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.