Organization Active NPI

Sean B. Mandel, DC, PC

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1407017221
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC008976 Issued in PA
Legal business name
SEAN B. MANDEL, DC, PC
Practice address
6 Mystic LN
Malvern, PA 19355
Phone
(610) 889-9244
Fax
(610) 889-1316
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Dr. Sean Benjamin Mandel, DCNPI 1942232210
Title
Ao / Provider/ Owner
Phone
(267) 258-6246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC008976 PA Primary

Addresses

Primary practice location

6 Mystic LN
Malvern, PA 19355

Mailing address

6 Mystic LN
Malvern, PA 19355-1942
Phone (610) 889-9242

Other names 1

  • Sharp Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080731000541 PA Part B Supplier - Clinic/Group Practice 9739253212 Receives reassigned benefits from 1 practitioner
Practice locations: Malvern, PA

National Provider Directory

National Provider Directory

Locations

6 Mystic Ln
Malvern, PA 19355
Phone (610) 889-1244

7 Mystic Ln
Malvern, PA 19355
Phone (610) 715-8276

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1407017221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MYSTIC LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551942",
            "telephone_number": "610-889-9242",
            "fax_number": "610-889-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MYSTIC LN",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "610-889-9244",
            "fax_number": "610-889-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN B. MANDEL, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "AO / PROVIDER/ OWNER",
        "authorized_official_telephone_number": "267-258-6246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharp Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.