Individual provider Active NPI

Debra R. Sheehan, D.C.

  • Chiropractor
  • Middletown, RI
National Provider Identifier
1306900105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00402 Issued in RI
Practice address
477 E Main Rd
Middletown, RI 02842-5202
Phone
(401) 842-0500
Fax
(401) 864-1552
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 DCP00402 RI Primary

Addresses

Primary practice location

477 E Main Rd
Middletown, RI 02842-5202

Mailing address

477 E Main Rd
Middletown, RI 02842-5202
Phone (401) 842-0500

Other identifiers 1

IdentifierTypeStateIssuer
407449OtherRIBLUECHIP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130613000340 RI Practitioner - Chiropractic 0547409062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 E Main Rd
Unit 12
Middletown, RI 02842-5277
Phone (401) 842-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Chiropractic Inc Chiropractor CurrentSince Oct 29, 1999 Accepting new patients
P.C.S.-Bridgeview, Inc. PastSince Jan 6, 2018 Accepting new patients

Locations

477 E Main Rd
Middletown, RI 02842
Phone (401) 842-0500

510 E Main Rd
Unit 12
Middletown, RI 02842
Phone (401) 842-0500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306900105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425202",
            "telephone_number": "401-842-0500",
            "fax_number": "401-864-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425202",
            "telephone_number": "401-842-0500",
            "fax_number": "401-864-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "DEBRA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "407449",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

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.