Active NPI
Casey Evans Reardon, D.C.
- Chiropractor
- Greenville, PA
National Provider Identifier
1306027487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC009840
- Practice address
- 348 Main St
Greenville, PA 16125-2608 - Phone
- (724) 588-5250
- Fax
- (724) 588-5253
- NPI assigned
- Nov 17, 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 | DC009840 | PA | Primary |
Addresses
Primary practice location
348 Main St
Greenville, PA 16125-2608
Mailing address
100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 588-5250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099633 | Medicaid | OH | |
| 1026729350002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131202001487 | PA | Practitioner - Chiropractic | 3072691567 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009840 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Network | Past | Accepting new patients | |
| Primary Health Network | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Sheakleyville, PA
- NPI 1295867620
-
- Federally Qualified Health Center (FQHC)
- Mercer, PA
- NPI 1447382296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1306027487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SHENANGO AVE",
"city": "SHARON",
"state": "PA",
"postal_code": "161461503",
"telephone_number": "724-588-5250",
"fax_number": "724-588-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 MAIN ST",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252608",
"telephone_number": "724-588-5250",
"fax_number": "724-588-5253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARDON",
"first_name": "CASEY",
"middle_name": "EVANS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-17",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0099633",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1026729350002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.