Individual provider Active NPI

Sean Patrick Feeney, DC

  • Chiropractor
  • Bear, DE
National Provider Identifier
1306845656
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
FI-0000354 Issued in DE
Practice address
1106 Pulaski Hwy
Bear, DE 19701-1332
Phone
(302) 300-1111
Fax
(302) 257-5628
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X FI-0000354 DE Primary

Addresses

Primary practice location

1106 Pulaski Hwy
Bear, DE 19701-1332

Mailing address

1106 Pulaski Hwy
Bear, DE 19701-1332
Phone (302) 300-1111

Other identifiers 2

IdentifierTypeStateIssuer
3713779OtherDEAETNA
51-0256713OtherDEBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000738 DE Practitioner - Chiropractic 0547214355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Plus Spine and Rehab CenterGroup PAC ID 0749437473, 4 clinicians

Practice addresses (Care Compare)

1701 Pulaski Hwy
Bear, DE 19701-1711
Phone (302) 300-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FI-0000354DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Feeney Chiropractic Care Centre Chiropractor PastSince Jun 25, 2004 Accepting new patients

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1306845656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011332",
            "telephone_number": "302-300-1111",
            "fax_number": "302-257-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011332",
            "telephone_number": "302-300-1111",
            "fax_number": "302-257-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEENEY",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "FI-0000354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3713779",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51-0256713",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.