Individual provider Active NPI

Sean McTaggart, DC

  • Chiropractor
  • Menlo Park, CA
National Provider Identifier
1033707740
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC34756 Issued in CA
Practice address
325 Sharon Park Dr Ste B6
Menlo Park, CA 94025-6848
Phone
(650) 233-7333
Fax
(650) 233-7330
NPI assigned
Jan 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC34756 CA Primary

Addresses

Primary practice location

325 Sharon Park Dr Ste B6
Menlo Park, CA 94025-6848

Mailing address

325 Sharon Park Dr Ste B6
Menlo Park, CA 94025-6848
Phone (650) 233-7333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003246 CA Practitioner - Chiropractic 5799133393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

325 Sharon Park Dr
Suite B6
Menlo Park, CA 94025-6848
Phone (650) 233-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC34756CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
McTaggart Chiropractic Corporation Chiropractor CurrentSince Sep 18, 2023 Accepting new patients

Locations

325 Sharon Park Dr
Ste B6
Menlo Park, CA 94025
Phone (650) 233-7333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1033707740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE B6",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256848",
            "telephone_number": "650-233-7333",
            "fax_number": "650-233-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE B6",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256848",
            "telephone_number": "650-233-7333",
            "fax_number": "650-233-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTAGGART",
        "first_name": "SEAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.