Sean L. Martin, D.C.,P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010106 Issued in NY

Legal business name

SEAN L. MARTIN, D.C.,P.C.

Practice address

1083 Violet Ave
Hyde Park, NY 12538-1681

Phone

(845) 229-2225

NPI assigned

Feb 18, 2007

Last updated

Sep 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean L. Martin, D.C.NPI 1932253978

Title

President

Phone

(845) 229-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Lawrence Martin, DC

  • Chiropractor
  • Hyde Park, NY
  • NPI 1932253978
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1457495863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 VIOLET AVE",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381681",
            "telephone_number": "845-229-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 VIOLET AVE",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381681",
            "telephone_number": "845-229-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN L. MARTIN, D.C.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-229-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa June Secor, RPH
• Cynthia Lynn Shellhammer, LPN
• Emily Sheridan
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• Nami Shin, DCN, LDN, CNS

• Chiropractor in Hyde Park, NY
• Providers in Hyde Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.