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KEVIN CONNERY DC
NPI 1891679262
Chiropractor in Long Lake, MN

Active since July 31, 2025
1865 W WAYZATA BLVD STE 200, LONG LAKE, MN 55356(952) 473-3588 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin Connery Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN CONNERY DC (NPI 1891679262) is an individual chiropractor in Long Lake, Minnesota, licensed in Minnesota (7365) and active in the NPI registry since July 2025. He is a graduate of Northwestern College Of Chiropractic (2025).

NPPES Registry Identity

NPI1891679262
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEVIN CONNERYCredential: DC
Location Address1865 W WAYZATA BLVD STE 200Long Lake, MN 55356-4100
Mailing Address1865 W Wayzata Blvd Ste 200Long Lake, MN 55356-4100 · (952) 473-3588
Phone(952) 473-3588
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2025
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1891679262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 7365
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1865 W WAYZATA BLVD STE 200, Long Lake, MN 55356
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Connery Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395244743
PECOS Enrollment IDI20250814001432

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNE LEVANDOSKI
Acupuncturist
1865 W WAYZATA BLVD STE 200
LONG LAKE, MN 55356
Hennepin County (320) 552-9736
JOSHUA DAVID MAZUREK DC
Chiropractor
1865 W WAYZATA BLVD STE 200
LONG LAKE, MN 55356
Hennepin County (952) 473-3588
CHIROCENTER INC.
Chiropractor
1865 W WAYZATA BLVD STE 200
LONG LAKE, MN 55356
Hennepin County (952) 473-3588
MR. MICHAEL JOSEPH SHERMAN CMT
Massage Therapist
1865 W WAYZATA BLVD STE 200
LONG LAKE, MN 55356
Hennepin County (952) 473-3588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Connery's NPI number?

The NPI number for Kevin Connery is 1891679262. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Kevin Connery located?

Kevin Connery practices at 1865 W Wayzata Blvd Ste 200, Long Lake, MN 55356. The listed phone number is (952) 473-3588.

What is Kevin Connery's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kevin Connery enrolled in Medicare?

Yes. Kevin Connery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Connery was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.