Individual provider Active NPI

Sidney B Bean, DC

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1558350157
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 283420 Issued in CA
Practice address
1754 36TH St
Sacramento, CA 95816-6613
Phone
(916) 475-1263
Fax
(916) 475-1863
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 283420 CA Primary

Addresses

Primary practice location

1754 36TH St
Sacramento, CA 95816-6613

Mailing address

1754 36TH St
Sacramento, CA 95816-6613
Phone (916) 475-1263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040806000899 CA Practitioner - Chiropractic 9638141047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1754 36TH St
Sacramento, CA 95816-6613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 283420CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sidney Bean Chiropractic Corp. Chiropractor CurrentSince Jun 15, 2007 Accepting new patients
Helix Hearing Care (California) Inc Past Accepting new patients
Casazza Chiropractic Inc. Chiropractor Past Accepting new patients
Magale Chiropractic a Professional Corporation Chiropractor Past Accepting new patients

Locations

1754 36th St
Sacramento, CA 95816
Phone (916) 475-1263

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1558350157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 36TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166613",
            "telephone_number": "916-475-1263",
            "fax_number": "916-475-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 36TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166613",
            "telephone_number": "916-475-1263",
            "fax_number": "916-475-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAN",
        "first_name": "SIDNEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 283420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.