Active NPI
Patrick Casey, D.C.
- Chiropractor
- Boise, ID
National Provider Identifier
1689845026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIA-929
- Practice address
- 403 S 11TH St
Suite 110
Boise, ID 83702-6968 - Phone
- (208) 378-7700
- Fax
- (208) 343-0642
- NPI assigned
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIA-929 | ID | Primary |
Addresses
Primary practice location
403 S 11TH St
Suite 110
Boise, ID 83702-6968
Mailing address
403 S 11TH St
Suite 110
Boise, ID 83702-6968
Phone (208) 378-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIA-929 | ID | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1689845026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S 11TH ST",
"address_2": "SUITE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837026968",
"telephone_number": "208-378-7700",
"fax_number": "208-343-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S 11TH ST",
"address_2": "SUITE 110",
"city": "BOISE",
"state": "ID",
"postal_code": "837026968",
"telephone_number": "208-378-7700",
"fax_number": "208-343-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "PATRICK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ID",
"license": "CHIA-929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.