Individual provider Active NPI

Casey Christopher Brennan Goessl, D.C.

  • Chiropractor
  • Somerset, WI
National Provider Identifier
1598820664
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4271-012 Issued in WI
Practice address
407 Laser Dr
Somerset, WI 54025-7430
Phone
(715) 247-4009
Fax
(715) 247-3366
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4271-012 WI Primary

Addresses

Primary practice location

407 Laser Dr
Somerset, WI 54025-7430

Mailing address

407 Laser Dr
Somerset, WI 54025-7430
Phone (715) 247-4009

Other identifiers 1

IdentifierTypeStateIssuer
38972500MedicaidWI

Other names 1

  • Dr. Casey Christopher Goessl Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070111000639 WI Practitioner - Chiropractic 1658371836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

407 Laser Dr
Somerset, WI 54025-7430
Phone (715) 247-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4271-012WIMDChiropractor
5641MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Defined Spine Chiropractic & Wellness, LLC Chiropractor CurrentSince Jan 20, 2010 Accepting new patients
Bont Chiropractic, LLC Chiropractor CurrentSince Nov 1, 2006 Accepting new patients

Locations

407 Laser Dr
Somerset, WI 54025
Phone (715) 247-4009

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1598820664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LASER DR",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257430",
            "telephone_number": "715-247-4009",
            "fax_number": "715-247-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 LASER DR",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540257430",
            "telephone_number": "715-247-4009",
            "fax_number": "715-247-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN GOESSL",
        "first_name": "CASEY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4271-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38972500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "GOESSL",
            "middle_name": "CHRISTOPHER",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.