Active NPI
Casey Titus, D.C.
- Chiropractor
- Kitty Hawk, NC
National Provider Identifier
1609836147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11469679 | Other | VA | CAQH |
Other names 1
- Casey Ellen Titus Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cetd Chiropractic Services P.C. | Chiropractor | Current | Accepting new patients |
| Chiropractic Initiatives, Inc | Past | Accepting new patients | |
| Clearview Chiropractic Wellness Center | Past | 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.
-
- Chiropractor
- Southern Shores, NC
- NPI 1356648406
-
- Clinic/Center
- Southern Shores, NC
- NPI 1427228501
-
- Rehabilitation Chiropractor
- Richmond, VA
- NPI 1952479727
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.