Organization Active NPI

McTaggart Chiropractic Corporation

  • Chiropractor
  • Menlo Park, CA
National Provider Identifier
1477328573
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MCTAGGART CHIROPRACTIC CORPORATION
Practice address
325 Sharon Park Dr Ste B6
Menlo Park, CA 94025-6848
Phone
(650) 233-7333
Fax
(650) 233-7330
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Dr. Sean McTaggart, DCNPI 1033707740
Title
Owner/Chiropractor
Phone
(650) 233-7333

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 Primary

Addresses

Primary practice location

325 Sharon Park Dr Ste B6
Menlo Park, CA 94025-6848

Mailing address

325 Sharon Park Dr Ste B6
Menlo Park, CA 94025-6848
Phone (650) 233-7333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231120003123 CA Part B Supplier - Clinic/Group Practice 4880042480 Receives reassigned benefits from 1 practitioner
Practice locations: Menlo Park, CA

National Provider Directory

National Provider Directory

Locations

325 Sharon Park Dr
Ste B6
Menlo Park, CA 94025
Phone (650) 233-7333

Practitioners & affiliated clinicians

Practitioners 4

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": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1477328573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE B6",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256848",
            "telephone_number": "650-233-7333",
            "fax_number": "650-233-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SHARON PARK DR STE B6",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256848",
            "telephone_number": "650-233-7333",
            "fax_number": "650-233-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCTAGGART CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MCTAGGART",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "650-233-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.