Individual provider Active NPI

Keith V Conover, D.C.

  • Chiropractor
  • Amherst, NY
National Provider Identifier
1982632873
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
005754 Issued in NY
Practice address
4276 Maple Road
Suite 3
Amherst, NY 14226-1040
Phone
(716) 831-0011
Fax
(716) 831-0012
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005754 NY Primary
Chiropractor 111N00000X X005754-1 NY

Addresses

Primary practice location

4276 Maple Road
Suite 3
Amherst, NY 14226-1040

Mailing address

4276 Maple Road
Suite 3
Amherst, NY 14226-1040
Phone (716) 831-0011

Other identifiers 2

IdentifierTypeStateIssuer
8809939OtherNYINDEPENDENT HEALTH
16156789901OtherNYPRISM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080201000406 NY Practitioner - Chiropractic 3678655388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4276 Maple Rd
Amherst, NY 14226-1040

4276 Maple Rd
Suite 3
Amherst, NY 14226-1289
Phone (716) 831-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005754-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Conover Chiropractic,PC Chiropractor CurrentSince Jan 20, 2008 Accepting new patients

Locations

4276 Maple Rd
Amherst, NY 14226

4276 Maple Rd
Ste 3
Buffalo, NY 14226
Phone (716) 831-0011

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1982632873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 MAPLE ROAD",
            "address_2": "SUITE 3",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261040",
            "telephone_number": "716-831-0011",
            "fax_number": "716-831-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 MAPLE ROAD",
            "address_2": "SUITE 3",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261040",
            "telephone_number": "716-831-0011",
            "fax_number": "716-831-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "KEITH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "005754",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005754-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8809939",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM",
            "identifier": "16156789901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.