Active NPI
Conrad Chiropractic & Wellness LLC
- Clinic/Center
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- CONRAD CHIROPRACTIC & WELLNESS LLC
- Practice address
- 5962 Stetson Hills Blvd
Colorado Springs, CO 80922-3579 - Phone
- (719) 596-8700
- Fax
- (719) 596-8704
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shane Reed Conrad, D.C.
- Title
- Owner
- Phone
- (719) 596-8700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CO | Primary |
Addresses
Primary practice location
5962 Stetson Hills Blvd
Colorado Springs, CO 80922-3579
Mailing address
5962 Stetson Hills Blvd
Colorado Springs, CO 80922-3579
Phone (719) 596-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070329000023 | CO | Part B Supplier - Clinic/Group Practice | 1951405000 |
Receives reassigned benefits from 3 practitioners Practice locations: Colorado Spring, CO |
National Provider Directory
National Provider DirectoryLocations
5928 Stetson Hills Blvd
Ste 100
Colorado Springs, CO 80923
Phone (719) 596-8700
5962 Stetson Hills Blvd
Colorado Springs, CO 80923
Phone (719) 573-8664
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1558834317
-
- Chiropractor
- Colorado Springs, CO
- NPI 1518738244
-
- Chiropractor
- Boulder, CO
- NPI 1598440935
-
- Massage Therapist
- Colorado Springs, CO
- NPI 1477200210
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1609353879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992841902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5962 STETSON HILLS BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809223579",
"telephone_number": "719-596-8700",
"fax_number": "719-596-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5962 STETSON HILLS BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809223579",
"telephone_number": "719-596-8700",
"fax_number": "719-596-8704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD CHIROPRACTIC & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CONRAD",
"authorized_official_first_name": "SHANE",
"authorized_official_middle_name": "REED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-596-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CO",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.