Individual provider Active NPI

Ryan Michael Conner, DC

  • Chiropractor
  • Kannapolis, NC
National Provider Identifier
1972952497
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4663 Issued in NC
Practice address
1715 S Main St
Kannapolis, NC 28081-5923
Phone
(704) 938-7111
Fax
(704) 932-4066
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4663 NC Primary

Addresses

Primary practice location

1715 S Main St
Kannapolis, NC 28081-5923

Mailing address

1715 S Main St
Kannapolis, NC 28081-5923
Phone (704) 938-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160725001923 NC Practitioner - Chiropractic 9234422544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Chiropractic IncGroup PAC ID 9830273382, 4 clinicians

Practice addresses (Care Compare)

1715 S Main St
Kannapolis, NC 28081-5923
Phone (704) 938-7111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4663NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Chiropractic Inc Chiropractor CurrentSince Jul 7, 2025 Accepting new patients

Locations

1715 S Main St
Kannapolis, NC 28081
Phone (704) 267-5565

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1972952497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815923",
            "telephone_number": "704-938-7111",
            "fax_number": "704-932-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815923",
            "telephone_number": "704-938-7111",
            "fax_number": "704-932-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.