Individual provider Active NPI

Sean F Robotham, DC

  • Chiropractor
  • Bloomfield, CT
National Provider Identifier
1104938950
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001213 Issued in CT
Practice address
107 Old Windsor Rd
Bloomfield, CT 06002-1400
Phone
(860) 206-8198
Fax
(860) 242-0274
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 001213 CT Primary

Addresses

Primary practice location

107 Old Windsor Rd
Bloomfield, CT 06002-1400

Mailing address

107 Old Windsor Rd
Bloomfield, CT 06002-1400
Phone (860) 206-8198

Other identifiers 1

IdentifierTypeStateIssuer
050001213CT01OtherCTBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080627000202 CT Practitioner - Chiropractic 0244302735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

37 Jerome Ave
Bloomfield, CT 06002-2487
Phone (860) 206-8198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001213CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomfield Chiropractic Center, LLC Chiropractor CurrentSince Jun 27, 2008 Accepting new patients

Locations

37 Jerome Ave
Bloomfield, CT 06002
Phone (860) 206-8198

11 Mountain Ave
Ste 104
Bloomfield, CT 06002

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1104938950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OLD WINDSOR RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021400",
            "telephone_number": "860-206-8198",
            "fax_number": "860-242-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OLD WINDSOR RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060021400",
            "telephone_number": "860-206-8198",
            "fax_number": "860-242-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBOTHAM",
        "first_name": "SEAN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050001213CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.