Individual provider Active NPI

Casey H Walker, D.C.

  • Chiropractor
  • Lowell, IN
National Provider Identifier
1770537045
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002528A Issued in IN
Practice address
2072 E Commercial Ave Ste B
Lowell, IN 46356
Phone
(219) 696-8916
Fax
(219) 696-6880
NPI assigned
May 20, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 59561091202 UT
Chiropractor 111N00000X 08002528A IN Primary

Addresses

Primary practice location

2072 E Commercial Ave Ste B
Lowell, IN 46356

Mailing address

767 Coach Light LN
Lowell, IN 46356-7905
Phone (801) 494-9769

Other identifiers 1

IdentifierTypeStateIssuer
IN1267001OtherINMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130521000133 IN Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 9234160839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2072 B E Commercial Ave
Lowell, IN 46356-2116
Phone (219) 696-8916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002528AINMDChiropractor
59561091202UTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
R2 Medical Centers, LLC Current Accepting new patients
Route 2 Wellness, P.C. Chiropractor CurrentSince Dec 10, 2012 Accepting new patients

Locations

2072B E Commercial Ave
Lowell, IN 46356
Phone (219) 696-6880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1770537045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 COACH LIGHT LN",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463567905",
            "telephone_number": "801-494-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 E COMMERCIAL AVE STE B",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "46356",
            "telephone_number": "219-696-8916",
            "fax_number": "219-696-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "CASEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "59561091202",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002528A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IN1267001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, IN

Sources for this page

Verify at the official NPI Registry.