Individual provider Active NPI

Sean Thomas Shea, DC

  • Chiropractor
  • Meadville, PA
National Provider Identifier
1114517950
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011617 Issued in PA
Practice address
11581 Pennsylvania Ave # 98
Meadville, PA 16335-6247
Phone
(814) 336-3434
NPI assigned
Jan 26, 2021
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011617 PA Primary

Addresses

Primary practice location

11581 Pennsylvania Ave # 98
Meadville, PA 16335-6247

Mailing address

551 New Alexandria Rd
Greensburg, PA 15601-1444
Phone (518) 578-5568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210001980 PA Practitioner - Chiropractic 9739594458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean's Chiropractic Center, LLCGroup PAC ID 4688839590, 3 clinicians

Practice addresses (Care Compare)

1225 S Main St
Suite 201
Greensburg, PA 15601-5384
Phone (724) 836-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011617PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dean's Chiropractic Center, LLC Chiropractor CurrentSince Mar 1, 2022 Accepting new patients

Locations

1225 S Main St
Ste 201
Greensburg, PA 15601
Phone (724) 836-7246

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1114517950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 NEW ALEXANDRIA RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156011444",
            "telephone_number": "518-578-5568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11581 PENNSYLVANIA AVE # 98",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163356247",
            "telephone_number": "814-336-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "SEAN",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.