Active NPI
Casey Chiropractic PA
- Chiropractor
- Boise, ID
National Provider Identifier
1407966419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA929
- Legal business name
- CASEY CHIROPRACTIC PA
- Practice address
- 403 S 11TH St
Suite 110
Boise, ID 83702-6968 - Phone
- (208) 378-7700
- Fax
- (208) 343-0642
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick Casey, DC
- Title
- Pres
- Phone
- (208) 378-7700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA929 | ID | Primary |
Addresses
Primary practice location
403 S 11TH St
Suite 110
Boise, ID 83702-6968
Mailing address
403 S 11TH St
Suite 110
Boise, ID 83702-6968
Phone (208) 378-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00187 | Other | ID | BLUE SHIELD |
| C1914 | Other | ID | BLUE CROSS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Boise, ID
- NPI 1689845026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1407966419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S 11TH ST",
"address_2": "SUITE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837026968",
"telephone_number": "208-378-7700",
"fax_number": "208-343-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S 11TH ST",
"address_2": "SUITE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837026968",
"telephone_number": "208-378-7700",
"fax_number": "208-343-0642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASEY CHIROPRACTIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "CASEY",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "208-378-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00187",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C1914",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.