Individual provider Active NPI

Sean Cedric Halpin, D.C.

  • Chiropractor
  • Big Bend, WI
National Provider Identifier
1063554723
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3674-012 Issued in WI
Practice address
W236 S7050 Hwy164
Ste. 4
Big Bend, WI 53103
Phone
(262) 662-9820
Fax
(262) 662-9821
NPI assigned
Feb 12, 2007
Last updated
Sep 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3674-012 WI Primary

Addresses

Primary practice location

W236 S7050 Hwy164
Ste. 4
Big Bend, WI 53103

Mailing address

W236 S7050 Hwy164
Ste. 4
Big Bend, WI 53103
Phone (262) 662-9820

Other identifiers 1

IdentifierTypeStateIssuer
38928600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000274 WI Practitioner - Chiropractic 8628046513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

W236S7050 Hwy 164
Suite 4
Big Bend, WI 53103-9497
Phone (262) 662-9820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3674-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Halpin Family Chiropractic and Rehab Center S.C. Chiropractor CurrentSince Nov 18, 2003 Accepting new patients

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1063554723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W236 S7050 HWY164",
            "address_2": "STE. 4",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "53103",
            "telephone_number": "262-662-9820",
            "fax_number": "262-662-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W236 S7050 HWY164",
            "address_2": "STE. 4",
            "city": "BIG BEND",
            "state": "WI",
            "postal_code": "53103",
            "telephone_number": "262-662-9820",
            "fax_number": "262-662-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPIN",
        "first_name": "SEAN",
        "middle_name": "CEDRIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3674-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38928600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bend, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.