Individual provider Active NPI

Courtney Lynn Casper, D.C.

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1154866077
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6309 Issued in MN
Practice address
12455 Ridgedale Dr
Suite 203
Minnetonka, MN 55305-1786
Phone
(952) 314-7035
Fax
(952) 426-3413
NPI assigned
Jan 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6309 MN Primary

Addresses

Primary practice location

12455 Ridgedale Dr
Suite 203
Minnetonka, MN 55305-1786

Mailing address

12455 Ridgedale Dr
Suite 203
Minnetonka, MN 55305-1786
Phone (952) 314-7035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170117000695 MN Practitioner - Chiropractic 3870875420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunu Chiropractic, Inc.Group PAC ID 0547439168, 5 clinicians

Practice addresses (Care Compare)

12455 Ridgedale Dr
Suite 203
Minnetonka, MN 55305-1786
Phone (952) 314-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6309MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunu Chiropractic, Inc. Chiropractor CurrentSince Jan 1, 2017 Accepting new patients

Locations

12455 Ridgedale Dr
Ste 203
Minnetonka, MN 55305
Phone (952) 314-7035

12455 Ridgedale Dr
#203
Minnetonka, MN 55305
Phone (952) 314-7035

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": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483228800000",
    "number": "1154866077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR",
            "address_2": "SUITE 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "952-314-7035",
            "fax_number": "952-426-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR",
            "address_2": "SUITE 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "952-314-7035",
            "fax_number": "952-426-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPER",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2017-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.