Organization Active NPI

Sheehan Chiropractic Center Inc

  • Chiropractor
  • Winsted, MN
National Provider Identifier
1528144243
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2747 Issued in MN
Legal business name
SHEEHAN CHIROPRACTIC CENTER INC
Practice address
421 6TH St So
Winsted, MN 55395
Phone
(320) 485-2380
Fax
(320) 485-4548
NPI assigned
Oct 27, 2006
Last updated
Jan 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Authorized official

Name
Mr. Timothy John Sheehan, DCNPI 1447433727
Title
President Owner
Phone
(320) 485-2380

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
Chiropractor 111N00000X 2747 MN Primary

Addresses

Primary practice location

421 6TH St So
Winsted, MN 55395

Mailing address

PO Box 127
Winsted, MN 55395
Phone (320) 485-2380

Other identifiers 3

IdentifierTypeStateIssuer
934728300MedicaidMN
030802010OtherMNPRIME WEST
3C470SHOtherMNBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080314000171 MN Part B Supplier - Clinic/Group Practice 9739264771 Receives reassigned benefits from 1 practitioner
Practice locations: Winsted, MN

National Provider Directory

National Provider Directory

Locations

421 6th St S
Winsted, MN 55395
Phone (320) 485-2380

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1528144243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "55395",
            "telephone_number": "320-485-2380",
            "fax_number": "320-485-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 6TH ST SO",
            "city": "WINSTED",
            "state": "MN",
            "postal_code": "55395",
            "telephone_number": "320-485-2380",
            "fax_number": "320-485-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEHAN CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "320-485-2380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934728300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME WEST",
            "identifier": "030802010",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3C470SH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.