Individual provider Active NPI

Beau Emmett Casey, D.C.

  • Chiropractor
  • Exton, PA
National Provider Identifier
1477617413
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011410 Issued in PA
Practice address
678 Wharton Blvd
Exton, PA 19341-1189
Phone
(484) 818-3373
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28932 CA
Chiropractor 111N00000X DC011410 PA Primary

Addresses

Primary practice location

678 Wharton Blvd
Exton, PA 19341-1189

Mailing address

678 Wharton Blvd
Exton, PA 19341-1189
Phone (484) 818-3373

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.intakeq.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC28932CAMDChiropractor
DC011410PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Beau Casey Chiropractic, LLC CurrentSince Oct 25, 2020 Accepting new patients
Casey Chiropractic Inc. Chiropractor Past Accepting new patients

Locations

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

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1477617413",
    "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": "484-818-3373"
        },
        {
            "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": "484-818-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "BEAU",
        "middle_name": "EMMETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28932",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.intakeq.com",
            "affiliation": "N",
            "endpointDescription": "EHR and practice management",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Unknown",
            "address_1": "678 Wharton Blvd",
            "city": "Exton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193411189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 21, 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.