Active NPI
Sean Michael Roden, D.C., B.S., CCSP
- Chiropractor
- Beaumont, TX
National Provider Identifier
1124344387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11356
- Practice address
- 2750 Interstate 10 E Ste 200
Beaumont, TX 77703-4979 - Phone
- (409) 242-6442
- Fax
- (855) 669-9969
- NPI assigned
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11356 | TX | Primary |
Addresses
Primary practice location
2750 Interstate 10 E Ste 200
Beaumont, TX 77703-4979
Mailing address
4421 Nobles and Geheb Rd
Beaumont, TX 77713-3177
Phone (281) 608-5330
Other practice location 1
2685 Harrison St
Beaumont, TX 77702-1201
Phone (409) 242-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11356 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1124344387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4421 NOBLES AND GEHEB RD",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777133177",
"telephone_number": "281-608-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 INTERSTATE 10 E STE 200",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777034979",
"telephone_number": "409-242-6442",
"fax_number": "855-669-9969"
}
],
"practiceLocations": [
{
"address_1": "2685 Harrison St",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777021201",
"country_code": "US",
"telephone_number": "409-242-6442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODEN",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C., B.S., CCSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-13",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
- Robert Obie Robinson, M.D.
- Tarasha Robinson, LCPC, CCD, ICCC
- Mandy D Roccaforte, M.S. CCC-SLP
- Jeffrey Alan Roche, PHYSICAL THERAPIST
- Edward F Rod Jr., D.D.S.
- Myrna Cruz Roderick, NURSE PRACTITIONER
- Lynn Smith Rodgers, MS, LPC
- Grigoriy Tsotneevich Rodonaia, M.D. PA
- Ofelia Rodriguez Sierra, PTA
- Shelby Nicole Rodriguez, ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.