Individual provider Active NPI

Casey Krahn, DC

  • Chiropractor
  • Bloomington, IL
National Provider Identifier
1609394667
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.13135 Issued in IL
Practice address
2501 E College Ave Ste C
Bloomington, IL 61704-2484
Phone
(309) 661-1155
Fax
(309) 661-1155
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.13135 IL Primary

Addresses

Primary practice location

2501 E College Ave Ste C
Bloomington, IL 61704-2484

Mailing address

1004 Bypass S Unit 5
Lawrenceburg, KY 40342-8047
Phone (502) 839-7774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180525001922 KY Practitioner - Chiropractic 3476828575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrenceburg Family Chiropractic PLLCGroup PAC ID 9830339514, 3 clinicians

Practice addresses (Care Compare)

1004 Bypass S
Suite 5
Lawrenceburg, KY 40342-8033
Phone (502) 839-7774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.13135ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrenceburg Family Chiropractic PLLC Chiropractor CurrentSince Mar 31, 2018 Accepting new patients
Bowling Green Family Chiropractic PLLC Chiropractor PastSince Mar 31, 2018 Accepting new patients

Locations

1004 Bypass S
Unit 5
Lawrenceburg, KY 40342
Phone (502) 839-7774

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1609394667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BYPASS S UNIT 5",
            "city": "LAWRENCEBURG",
            "state": "KY",
            "postal_code": "403428047",
            "telephone_number": "502-839-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E COLLEGE AVE STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042484",
            "telephone_number": "309-661-1155",
            "fax_number": "309-661-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHN",
        "first_name": "CASEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.13135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.