Individual provider Active NPI

Casey Titus, D.C.

  • Chiropractor
  • Kitty Hawk, NC
National Provider Identifier
1609836147
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556368 Issued in VA
Practice address
1 Ocean Blvd Ste 104
Kitty Hawk, NC 27949-3616
Phone
(252) 261-3100
Fax
(252) 261-3240
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556368 VA Primary
Chiropractor 111N00000X 3669 NC

Addresses

Primary practice location

1 Ocean Blvd Ste 104
Kitty Hawk, NC 27949-3616

Mailing address

1 Ocean Blvd Ste 104
Kitty Hawk, NC 27949-3616
Phone (252) 261-3100

Other identifiers 1

IdentifierTypeStateIssuer
11469679OtherVACAQH

Other names 1

  • Casey Ellen Titus Davis Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000896 NC Practitioner - Chiropractic 6800828013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Ocean Blvd
Suite 104
Southern Shores, NC 27949-3616
Phone (252) 261-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cetd Chiropractic Services P.C. Chiropractor CurrentSince Jan 3, 2011 Accepting new patients
Chiropractic Initiatives, Inc Past Accepting new patients
Clearview Chiropractic Wellness Center PastSince Jan 3, 2011 Accepting new patients

Locations

1 Ocean Blvd
Ste 104
Southrn Shore, NC 27949
Phone (252) 261-3100

Organizations & group practices 3

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1609836147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OCEAN BLVD STE 104",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493616",
            "telephone_number": "252-261-3100",
            "fax_number": "252-261-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OCEAN BLVD STE 104",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493616",
            "telephone_number": "252-261-3100",
            "fax_number": "252-261-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "CASEY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556368",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11469679",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "TITUS DAVIS",
            "middle_name": "ELLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.