Organization Active NPI

Case Chiropractic LLC

  • Chiropractor
  • Lawton, OK
National Provider Identifier
1811546260
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CASE CHIROPRACTIC LLC
Practice address
1818 W Gore Blvd Ste B
Lawton, OK 73501-3615
Phone
(580) 699-5115
Fax
(580) 699-5120
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Authorized official

Name
Casey Conran, DCNPI 1992362172
Title
Doctor of Chiropractic
Phone
(580) 699-5115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1818 W Gore Blvd Ste B
Lawton, OK 73501-3615

Mailing address

1818 W Gore Blvd Ste B
Lawton, OK 73501-3615
Phone (580) 699-5115

Other names 1

  • Casey Conran Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191112001554 OK Part B Supplier - Clinic/Group Practice 3779915822 Receives reassigned benefits from 1 practitioner
Practice locations: Lawton, OK

National Provider Directory

National Provider Directory

Locations

1818 W Gore Blvd
Ste B
Lawton, OK 73501
Phone (580) 284-9015

4010 NW Cache Rd
Lawton, OK 73505
Phone (580) 357-8688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1811546260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W GORE BLVD STE B",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013615",
            "telephone_number": "580-699-5115",
            "fax_number": "580-699-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W GORE BLVD STE B",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013615",
            "telephone_number": "580-699-5115",
            "fax_number": "580-699-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "CONRAN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "DOCTOR  OF CHIROPRACTIC",
        "authorized_official_telephone_number": "580-699-5115",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casey Conran",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Casey Conran",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.