Individual provider Active NPI

Sean Flaherty, D.C.

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1154474708
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034265 Issued in WA
Practice address
6615 6TH Ave
Tacoma, WA 98406-2027
Phone
(253) 565-2225
Fax
(253) 565-7110
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 CH00034265 WA Primary

Addresses

Primary practice location

6615 6TH Ave
Tacoma, WA 98406-2027

Mailing address

6615 6TH Ave
Tacoma, WA 98406-2027
Phone (253) 565-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000166 WA Practitioner - Chiropractic 2961417928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6615 6TH Ave
Tacoma, WA 98406-2027
Phone (253) 565-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034265WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sean Flaherty DC Inc PS Chiropractor CurrentSince Apr 9, 2022 Accepting new patients
CB Chiropractic PLLC CurrentSince Sep 29, 2019 Accepting new patients
Genesis Chiropractic Rehabilitation NW Inc Chiropractor Past Accepting new patients

Locations

2026 54th Ave E
Fife, WA 98424
Phone (253) 777-3889

6615 6th Ave
Tacoma, WA 98406
Phone (253) 565-2225

Organizations & group practices 3

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1154474708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062027",
            "telephone_number": "253-565-2225",
            "fax_number": "532-565-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062027",
            "telephone_number": "253-565-2225",
            "fax_number": "253-565-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "SEAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.