Active NPI
Casey Michael Kincaid, D.C.
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1043490337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6143
- Practice address
- 4038 S Timberline Rd
Suite 120
Fort Collins, CO 80525-6031 - Phone
- (970) 267-9600
- NPI assigned
- Nov 5, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6143 | CO | Primary |
Addresses
Primary practice location
4038 S Timberline Rd
Suite 120
Fort Collins, CO 80525-6031
Mailing address
4038 S Timberline Rd
Suite 120
Fort Collins, CO 80525-6031
Phone (970) 267-9600
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 |
|---|---|---|---|
| 6143 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1043490337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4038 S TIMBERLINE RD",
"address_2": "SUITE 120",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256031",
"telephone_number": "970-267-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4038 S TIMBERLINE RD",
"address_2": "SUITE 120",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805256031",
"telephone_number": "970-267-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINCAID",
"first_name": "CASEY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-05",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.