Active NPI
Sean Phillip Ellingworth, DC
- Chiropractor
- Carmel, IN
National Provider Identifier
1386153047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003243A
- Practice address
- 12749 Meeting House Rd Ste 100
Carmel, IN 46032-7399 - Phone
- (317) 452-5170
- NPI assigned
- Sep 26, 2017
- 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 | 6409 | MN | |
| Chiropractor | 111N00000X | 08003243A | IN | Primary |
Addresses
Primary practice location
12749 Meeting House Rd Ste 100
Carmel, IN 46032-7399
Mailing address
12749 Meeting House Rd Ste 100
Carmel, IN 46032-7399
Phone (317) 452-5170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12749 Meeting House Rd
Suite 100
Carmel, IN 46032-7399
Phone (317) 452-5170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Spine LLC | Chiropractor | Current | Accepting new patients |
| Vero LLC | Chiropractor | Past | Accepting new patients |
| Healthzone Chiropractic 7, PC | Chiropractor | Past | Accepting new patients |
Locations
12749 Meeting House Rd
Ste 100
Carmel, IN 46032
Phone (317) 452-5170
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 and National Provider Directory roles.
-
- Chiropractor
- Carmel, IN
- NPI 1902601297
-
- Chiropractor
- Indianapolis, IN
- NPI 1619060928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1386153047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12749 MEETING HOUSE RD STE 100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327399",
"telephone_number": "317-452-5170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12749 MEETING HOUSE RD STE 100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460327399",
"telephone_number": "317-452-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGWORTH",
"first_name": "SEAN",
"middle_name": "PHILLIP",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6409",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003243A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.