Individual provider Active NPI

Caleb Guernsey, CALEB GUERNSEY

  • Chiropractor
  • Bethany, MO
National Provider Identifier
1477872182
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010013285 Issued in MO
Practice address
1704 Main St
Bethany, MO 64424-2064
Phone
(660) 425-3444
Fax
(660) 425-3044
NPI assigned
May 19, 2010
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010013285 MO Primary

Addresses

Primary practice location

1704 Main St
Bethany, MO 64424-2064

Mailing address

1704 Main St
Bethany, MO 64424-2064
Phone (660) 425-3444

Other names 1

  • Caleb Guernsey Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000681 MO Practitioner - Chiropractic 7618153776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1704 Main St
Bethany, MO 64424-2064
Phone (660) 425-3447

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010013285MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Guernsey Chiropractic and Sports Injury Center LLC Chiropractor CurrentSince Mar 25, 2011 Accepting new patients
Kadolph Chiropractic Clinic PC Chiropractor PastSince Mar 25, 2011 Accepting new patients

Locations

1704 Main St
Bethany, MO 64424
Phone (660) 425-3312

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1477872182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 MAIN ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242064",
            "telephone_number": "660-425-3444",
            "fax_number": "660-425-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 MAIN ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242064",
            "telephone_number": "660-425-3444",
            "fax_number": "660-425-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERNSEY",
        "first_name": "CALEB",
        "credential": "CALEB GUERNSEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010013285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALEB",
            "last_name": "GUERNSEY",
            "credential": "CALEB GUERNSEY D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bethany, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.