Individual provider Active NPI

Sean Joseph, DC

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1346289998
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60153099 Issued in WA
Practice address
9220 Ridgetop Blvd NW
Suite 100
Silverdale, WA 98383-8556
Phone
(360) 516-6296
Fax
(360) 308-0937
NPI assigned
Jun 6, 2006
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-009854 IL
Chiropractor 111N00000X CH60153099 WA Primary

Addresses

Primary practice location

9220 Ridgetop Blvd NW
Suite 100
Silverdale, WA 98383-8556

Mailing address

9220 Ridgetop Blvd NW
Suite 100
Silverdale, WA 98383-8556
Phone (360) 516-6296

Other identifiers 1

IdentifierTypeStateIssuer
11503852OtherWACAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000917 WA Practitioner - Chiropractic 3971527722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9220 Ridgetop Blvd NW
Suite 100
Silverdale, WA 98383-8556
Phone (360) 516-6296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
038-009854ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Chiropractic CurrentSince Dec 2, 2014 Accepting new patients
Advanced Physical Medicine & Rehabilitation LTD Chiropractor PastSince Sep 29, 2024 Accepting new patients
French Medical Group, LTD Chiropractor Past Accepting new patients

Locations

9220 Ridgetop Blvd NW
Ste 100
Silverdale, WA 98383
Phone (360) 308-0930

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1346289998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD NW",
            "address_2": "SUITE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-516-6296",
            "fax_number": "360-308-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 RIDGETOP BLVD NW",
            "address_2": "SUITE 100",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838556",
            "telephone_number": "360-516-6296",
            "fax_number": "360-308-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009854",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60153099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11503852",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.