Organization Active NPI

M. Casey Chiro-Care LLC

  • Chiropractor
  • West Allis, WI
National Provider Identifier
1811904402
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3570-012 Issued in WI
Legal business name
M. CASEY CHIRO-CARE LLC
Practice address
7639 W Beloit Rd
West Allis, WI 53219-2447
Phone
(414) 543-1951
Fax
(414) 543-1595
NPI assigned
Aug 3, 2006
Last updated
Sep 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Authorized official

Name
Monica Ruth Casey, D.C.NPI 1114973997
Title
Owner
Phone
(414) 377-0560

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
Chiropractor 111N00000X 3570-012 WI Primary

Addresses

Primary practice location

7639 W Beloit Rd
West Allis, WI 53219-2447

Mailing address

7639 W Beloit Rd
West Allis, WI 53219-2447
Phone (414) 377-0560

Other identifiers 1

IdentifierTypeStateIssuer
38924600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000452 WI Part B Supplier - Clinic/Group Practice 6406805019 Receives reassigned benefits from 1 practitioner
Practice locations: West Allis, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1811904402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7639 W BELOIT RD",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192447",
            "telephone_number": "414-377-0560",
            "fax_number": "414-377-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7639 W BELOIT RD",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532192447",
            "telephone_number": "414-543-1951",
            "fax_number": "414-543-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. CASEY CHIRO-CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-377-0560",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3570-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38924600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.