Active NPI
Gregory Robert Conner, D.C.
- Chiropractor
- Colorado Springs, CO
National Provider Identifier
1992886139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3113
- Practice address
- 3220 N Academy Blvd
Suite 6
Colorado Springs, CO 80917-5115 - Phone
- (719) 636-1615
- Fax
- (719) 591-1411
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 3113 | CO | Primary |
Addresses
Primary practice location
3220 N Academy Blvd
Suite 6
Colorado Springs, CO 80917-5115
Mailing address
3220 N Academy Blvd
Suite 6
Colorado Springs, CO 80917-5115
Phone (719) 636-1615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3113 | Other | CO | STATE LICENSE |
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 |
|---|---|---|---|
| 3113 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incline Chiropractic Colorado | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Colorado Springs, CO
- NPI 1679730287
-
- Chiropractor
- Colorado Springs, CO
- NPI 1184250581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1992886139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 N ACADEMY BLVD",
"address_2": "SUITE 6",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175115",
"telephone_number": "719-636-1615",
"fax_number": "719-591-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 N ACADEMY BLVD",
"address_2": "SUITE 6",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175115",
"telephone_number": "719-636-1615",
"fax_number": "719-591-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "GREGORY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3113",
"state": "CO"
}
],
"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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.