Casey Allen Berry, D.C.
Individual provider Active NPI Chiropractor · Westwood, KS
NPI 1609098722 · NPPES record last updated Jan 30, 2008
Key facts
- NPI
- 1609098722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-05098 (KS)
- Practice address
- 4711 Mission Rd
Westwood, KS 66205-1626 - Phone
- (913) 432-5678
- Fax
- (913) 236-8726
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05098 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-05098 | KS | Yes |
Addresses
Primary practice location
4711 Mission Rd
Westwood, KS 66205-1626
Mailing address
15219 Reeds St
Overland Park, KS 66223-3241
Phone (816) 309-3863
Other providers in Westwood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.