Organization Active NPI

Dr. Beau Casey Chiropractic, LLC

  • Internist Chiropractor
  • Exton, PA
National Provider Identifier
1346847993
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
Legal business name
DR. BEAU CASEY CHIROPRACTIC, LLC
Practice address
678 Wharton Blvd
Exton, PA 19341-1189
Phone
(619) 987-6255
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Beau E Casey, D.C.NPI 1477617413
Title
General Manager
Phone
(484) 818-3373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NI0900X Primary

Addresses

Primary practice location

678 Wharton Blvd
Exton, PA 19341-1189

Mailing address

678 Wharton Blvd
Exton, PA 19341-1189
Phone (619) 987-6255

Other names 1

  • The-Back.Space Doing business as

National Provider Directory

National Provider Directory

Locations

678 Wharton Blvd
Exton, PA 19341
Phone (484) 818-3373

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1346847993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 WHARTON BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411189",
            "telephone_number": "619-987-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 WHARTON BLVD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411189",
            "telephone_number": "619-987-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BEAU CASEY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BEAU",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "484-818-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The-Back.Space",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.