Individual provider Active NPI

Justin Richard Casey, D.C.

  • Chiropractor
  • Saint Joseph, MO
National Provider Identifier
1447679386
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2014003606 Issued in MO
Practice address
1802 N Woodbine Rd
Saint Joseph, MO 64506-3667
Phone
(816) 232-5113
NPI assigned
Apr 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2014003606 MO Primary

Addresses

Primary practice location

1802 N Woodbine Rd
Saint Joseph, MO 64506-3667

Mailing address

1802 N Woodbine Rd
Saint Joseph, MO 64506-3667
Phone (816) 232-5113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001883 MO Practitioner - Chiropractic 9537392964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Plus Rehabilitation Center LLCGroup PAC ID 5294791695, 8 clinicians

Practice addresses (Care Compare)

1802 N Woodbine Rd
Saint Joseph, MO 64506-3667
Phone (816) 232-5113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Plus Rehabilitation Center LLC Chiropractor CurrentSince Apr 30, 2014 Accepting new patients

Locations

1115 W Grand Ave
Cameron, MO 64429

1802 N Woodbine Rd
Saint Joseph, MO 64506
Phone (816) 232-5113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1447679386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063667",
            "telephone_number": "816-232-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N WOODBINE RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063667",
            "telephone_number": "816-232-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "JUSTIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2014003606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.