Individual provider Active NPI

Casey Holt

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1821622440
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0106030 Issued in KS
Practice address
834 N Socora St
Wichita, KS 67212-3279
Phone
(316) 202-0045
NPI assigned
Feb 24, 2020
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0106030 KS Primary

Addresses

Primary practice location

834 N Socora St
Wichita, KS 67212-3279

Mailing address

834 N Socora St Ste 1
Wichita, KS 67212-3278
Phone (316) 202-0045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616001586 KS Practitioner - Chiropractic 6709208978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

834 N Socora St
Suite 100
Wichita, KS 67212-3279
Phone (316) 202-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0106030KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Ict, LLC Chiropractor CurrentSince Mar 23, 2020 Accepting new patients

Locations

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

200 W Douglas Ave
Ste 250
Wichita, KS 67202
Phone (316) 265-9922

834 N Socora St
Wichita, KS 67212
Phone (316) 202-0045

834 N Socora St
Ste 1
Wichita, KS 67212
Phone (316) 440-3731

834 N Socora St
Ste 100
Wichita, KS 67212
Phone (316) 202-0045

Organizations & group practices 1

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1821622440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST STE 1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123278",
            "telephone_number": "316-202-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SOCORA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123279",
            "telephone_number": "316-202-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0106030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.