Individual provider Active NPI

Sean Driscoll, DC

  • Chiropractor
  • Pompano Beach, FL
National Provider Identifier
1437481199
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11073 Issued in FL
Practice address
1301 E Atlantic Blvd Ste 2
Chiropractic Center of Pompano
Pompano Beach, FL 33060-6741
Phone
(954) 532-6909
Fax
(954) 532-6993
NPI assigned
Feb 5, 2010
Last updated
Mar 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH11073 FL Primary

Addresses

Primary practice location

1301 E Atlantic Blvd Ste 2
Chiropractic Center of Pompano
Pompano Beach, FL 33060-6741

Mailing address

1301 E Atlantic Blvd Ste 2
Chiropractic Center of Pompano
Pompano Beach, FL 33060-6741
Phone (954) 532-6909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208001267 FL Practitioner - Chiropractic 2769720218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirocare of Florida, Inc. Chiropractor CurrentSince Dec 29, 2018 Accepting new patients
Advanced Injury Management LLC Chiropractor PastSince Feb 23, 2020 Accepting new patients

Locations

1800 W Woolbright Rd
Ste 101
Boynton Beach, FL 33426
Phone (561) 572-3542

6269 W Sample Rd
Coral Springs, FL 33067
Phone (954) 510-2225

4470 Weston Rd
Davie, FL 33331
Phone (954) 384-3275

701 E Broward Blvd
Ste D
Ft Lauderdale, FL 33301
Phone (754) 243-8080

2390 NE 186th St
Miami, FL 33180
Phone (305) 760-8400

801 S University Dr
Ste J101
Plantation, FL 33324
Phone (954) 300-4942

1600 S Federal Hwy
Ste 451
Pompano Beach, FL 33062

1600 S Federal Hwy
Ste 811
Pompano Beach, FL 33062

1301 E Atlantic Blvd
Ste 2
Pompano Beach, FL 33060
Phone (954) 532-6909

Organizations & group practices 2

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": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1437481199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E ATLANTIC BLVD STE 2",
            "address_2": "CHIROPRACTIC CENTER OF POMPANO",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606741",
            "telephone_number": "954-532-6909",
            "fax_number": "954-532-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E ATLANTIC BLVD STE 2",
            "address_2": "CHIROPRACTIC CENTER OF POMPANO",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606741",
            "telephone_number": "954-532-6909",
            "fax_number": "954-532-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "SEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.