Individual provider Active NPI

Sean Patrick Groves, D.C.

  • Orthopedic Chiropractor
  • Coldwater, MI
National Provider Identifier
1144284167
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2301007175 Issued in MI
Practice address
601 E Chicago Rd
Coldwater, MI 49036-8130
Phone
(517) 278-7246
Fax
(517) 279-2858
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 2301007175 MI Primary

Addresses

Primary practice location

601 E Chicago Rd
Coldwater, MI 49036-8130

Mailing address

601 E Chicago Rd
Coldwater, MI 49036-8130
Phone (517) 278-7246

Other identifiers 2

IdentifierTypeStateIssuer
4314403MedicaidMI
950A250160OtherMIBCBSM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000423 MI Practitioner - Chiropractic 4486608064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Chiropractic Orthopedics, PCGroup PAC ID 2062604994, 7 clinicians

Practice addresses (Care Compare)

601 E Chicago Rd
Coldwater, MI 49036-8130
Phone (517) 278-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Chiropractic Orthopedics, PC Orthopedic CurrentSince Apr 6, 2010 Accepting new patients
De Board Chiropractic P C Chiropractor Past Accepting new patients

Locations

601 E Chicago Rd
Coldwater, MI 49036
Phone (517) 278-7246

204 E West St
Sturgis, MI 49091
Phone (269) 651-9448

Organizations & group practices 2

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1144284167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368130",
            "telephone_number": "517-278-7246",
            "fax_number": "517-279-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E CHICAGO RD",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368130",
            "telephone_number": "517-278-7246",
            "fax_number": "517-279-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MI",
            "license": "2301007175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4314403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950A250160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.