Individual provider Active NPI

Sean Patrick Mahoney, D.C.

  • Chiropractor
  • Waitsfield, VT
National Provider Identifier
1609966191
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006-0000779 Issued in VT
Practice address
5031 Main St
Waitsfield, VT 05673-7464
Phone
(802) 496-9206
Fax
(802) 855-9220
NPI assigned
Oct 13, 2006
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006-0000779 VT Primary

Addresses

Primary practice location

5031 Main St
Waitsfield, VT 05673-7464

Mailing address

324 Ledgewood LN
Hinesburg, VT 05461-9544
Phone (802) 496-9206

Other identifiers 1

IdentifierTypeStateIssuer
5752OtherVTBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050110000913 VT Practitioner - Chiropractic 8921056540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Mahoney Family Chiropractic LLCGroup PAC ID 3476785155, 3 clinicians

Practice addresses (Care Compare)

261 Mountain View Dr
Suite 401
Colchester, VT 05446-8047
Phone (802) 655-2664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006-0000779VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoney Family Chiropractic, LLC Chiropractor CurrentSince Dec 2, 2013 Accepting new patients

Locations

150 Watertower Cir
Unit 203
Colchester, VT 05446
Phone (802) 655-2664

261 Mountain View Dr
Ste 401
Colchester, VT 05446
Phone (802) 655-2664

356 Mountain View Dr
Ste 200
Colchester, VT 05446
Phone (802) 655-2664

5031 Main St
Waitsfield, VT 05673
Phone (802) 496-9206

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1609966191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LEDGEWOOD LN",
            "city": "HINESBURG",
            "state": "VT",
            "postal_code": "054619544",
            "telephone_number": "802-496-9206",
            "fax_number": "802-855-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 MAIN ST",
            "city": "WAITSFIELD",
            "state": "VT",
            "postal_code": "056737464",
            "telephone_number": "802-496-9206",
            "fax_number": "802-855-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0000779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5752",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waitsfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.