Active NPI
Sean Joseph, DC
- Chiropractor
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60153099
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11503852 | Other | WA | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009854 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Chiropractic | Current | Accepting new patients | |
| Advanced Physical Medicine & Rehabilitation LTD | Chiropractor | Past | 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.
-
- Clinic/Center
- Silverdale, WA
- NPI 1023407343
-
dba Advanced Physical Medicine & Rehab
- Chiropractor
- Hoffman Estates, IL
- NPI 1659394914
-
- Chiropractor
- Elgin, IL
- NPI 1750349510
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.