Individual provider Active NPI

Sean Everette Chartier, DC

  • Chiropractor
  • Sioux City, IA
National Provider Identifier
1316955594
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06891 Issued in IA
Practice address
2601 Apache CT
Sioux City, IA 51104-1504
Phone
(712) 277-9355
Fax
(712) 277-9366
NPI assigned
Aug 4, 2006
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06891 IA Primary

Addresses

Primary practice location

2601 Apache CT
Sioux City, IA 51104-1504

Mailing address

2601 Apache CT
Sioux City, IA 51104-1504
Phone (712) 277-9355

Other identifiers 4

IdentifierTypeStateIssuer
I21041OtherIAGROUP MEDICARE PIN
0497446MedicaidIA
1982896353OtherIAGROUP NPI
1316955594OtherIAPROVIDER NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000459 IA Practitioner - Chiropractic 7719910298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 7TH St
Sioux City, IA 51101-2016
Phone (712) 277-9355

2601 Apache CT
Sioux City, IA 51104-1504
Phone (712) 277-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06891IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Belde Chiropractic Clinic, PA Chiropractor PastSince Nov 1, 2012 Accepting new patients
Multi Care Physicians Group PC PastSince Oct 1, 2002 Accepting new patients
IHS Midwest PC Chiropractor PastSince Mar 1, 2011 Accepting new patients

Organizations & group practices 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1316955594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-277-9355",
            "fax_number": "712-277-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 APACHE CT",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511041504",
            "telephone_number": "712-277-9355",
            "fax_number": "712-277-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTIER",
        "first_name": "SEAN",
        "middle_name": "EVERETTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-07-23",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PIN",
            "identifier": "I21041",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497446",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1982896353",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1316955594",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.