Individual provider Active NPI

Sean Noel, DC

  • Chiropractor
  • Ellington, CT
National Provider Identifier
1235238643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001208 Issued in CT
Practice address
105 West Rd Rte 83
Ellington, CT 06029
Phone
(860) 872-2070
Fax
(860) 872-2070
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001208 CT Primary

Addresses

Primary practice location

105 West Rd Rte 83
Ellington, CT 06029

Mailing address

105 West Rd Rte 83
Ellington, CT 06029
Phone (860) 872-2070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000021 CT Practitioner - Chiropractic 2567412307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 W Rd
Suite 7
Ellington, CT 06029-5700
Phone (860) 872-2070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001208CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Chiropractic LLC Chiropractor CurrentSince Oct 4, 2004 Accepting new patients

Locations

105 West Rd
Ellington, CT 06029
Phone (860) 454-0678

105 West Rd
#83
Ellington, CT 06029
Phone (860) 872-2070

105 West Rd
Ste 7
Ellington, CT 06029
Phone (860) 872-2070

Interoperability endpoints

  • Direct secure messaging: lifecarechiro@ctproviderdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235238643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEST RD RTE 83",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "06029",
            "telephone_number": "860-872-2070",
            "fax_number": "860-872-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEST RD RTE 83",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "06029",
            "telephone_number": "860-872-2070",
            "fax_number": "860-872-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "SEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.