Casey Trent Cordial, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHI-CHI-LIC-1835 Issued in MT

Practice address

701 W Spruce St
Missoula, MT 59802-3904

Phone

(406) 721-8858

Fax

(406) 542-0960

NPI assigned

Apr 9, 2012

Last updated

Apr 9, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maureen Cordial, LMFT, LCPC, PLLC

  • Adult Mental Health Clinic/Center
  • Missoula, MT
  • NPI 1912309592
  NPD (past)
• Tim Cordial PT PC

  dba Cordial Physical Therapy

  • Physical Therapy Clinic/Center
  • Missoula, MT
  • NPI 1437331063
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1992061410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023904",
            "telephone_number": "406-721-8858",
            "fax_number": "406-542-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023904",
            "telephone_number": "406-721-8858",
            "fax_number": "406-542-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDIAL",
        "first_name": "CASEY",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MT",
            "license": "CHI-CHI-LIC-1835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iley Scott Copeland, PA-C
• Alexandra Corbett, MSW, SWLC
• Erin Briana Corbett, LCSW, LAC, APRN
• Shanna Corbin
• Brittnea Lee Cordial, L.M.T.
• Clint Cordial, D.C.
• Maureen Cordial, LCPC
• Rory James Cordial, DPT
• Tim J Cordial, PT
• Elizabeth Cornelius, PA-C

• Sports Physician Chiropractor in Missoula, MT
• Providers in Missoula, MT by specialty
• Sports Physician Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.