Individual provider Active NPI

Sarah Ann Corcoran, DC

  • Chiropractor
  • Mansfield, MA
National Provider Identifier
1174692743
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2824 Issued in MA
Practice address
77 West St
Mansfield, MA 02048-2403
Phone
(508) 339-1418
Fax
(774) 284-4927
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2824 MA Primary

Addresses

Primary practice location

77 West St
Mansfield, MA 02048-2403

Mailing address

77 West St
Ste a
Mansfield, MA 02048-2403
Phone (508) 339-1418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000258 MA Practitioner - Chiropractic 0840234837 Reassigns benefits to 1 organization
Practice locations: Mansfield, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wicked Good Chiropractic and Wellness Group, PCGroup PAC ID 7911333141, 3 clinicians

Practice addresses (Care Compare)

77 W St
Suite a
Mansfield, MA 02048-2403
Phone (508) 339-1418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2824MAMDBehavioral Analyst
2621SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wicked Good Chiropractic & Wellness Group, PC Chiropractor CurrentSince Dec 24, 2019 Accepting new patients
Back to Health Chiropractic PastSince Jan 1, 1990 Accepting new patients

Locations

77 West St
Ste A
Mansfield, MA 02048
Phone (508) 339-1418

Interoperability endpoints

  • Direct secure messaging: drsarah01@wgc0001.direct.chirotouch.md

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1174692743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WEST ST",
            "address_2": "STE A",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482403",
            "telephone_number": "508-339-1418",
            "fax_number": "774-284-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WEST ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482403",
            "telephone_number": "508-339-1418",
            "fax_number": "774-284-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.