Organization Active NPI

Casey W. Pyle, DO, a Professional Corporation

  • Orthopaedic Foot and Ankle Surgery Physician
  • Ventura, CA
National Provider Identifier
1679192108
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
CASEY W. PYLE, DO, A PROFESSIONAL CORPORATION
Practice address
168 N Brent St Ste 505
Ventura, CA 93003-2840
Phone
(805) 648-3902
Fax
(805) 648-4014
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Tracy Ward
Title
Office Manager
Phone
(805) 648-3902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0004X Primary

Addresses

Primary practice location

168 N Brent St Ste 505
Ventura, CA 93003-2840

Mailing address

168 N Brent St Ste 505
Ventura, CA 93003-2840
Phone (805) 648-3902

Other practice location 1

4542 Las Posas Rd Ste E
Camarillo, CA 93010-2500
Phone (805) 648-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200923003006 CA Part B Supplier - Clinic/Group Practice 9335565373 Receives reassigned benefits from 3 practitioners
Practice locations: Ventura, CA
O20220922001832 CA DME Supplier - Physician - Osteopathic Manipulative Medicine 9335565373 Practice locations: Ventura, CA

National Provider Directory

National Provider Directory

Locations

168 N Brent St
Ste 505
Ventura, CA 93003
Phone (805) 648-3902

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1679192108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST STE 505",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032840",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4542 Las Posas Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930102500",
            "country_code": "US",
            "telephone_number": "805-648-3902",
            "fax_number": "805-648-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASEY W. PYLE, DO, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-648-3902"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.