Active NPI
Joseph Patrick Sheridan, D.C.
- Chiropractor
- Fairhaven, MA
National Provider Identifier
1811069974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1943
- Practice address
- 270 Huttleston Ave
Fairhaven, MA 02719-1605 - Phone
- (508) 997-9100
- Fax
- (508) 993-5854
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1943 | MA | Primary |
Addresses
Primary practice location
270 Huttleston Ave
Fairhaven, MA 02719-1605
Mailing address
270 Huttleston Ave
Fairhaven, MA 02719-1605
Phone (508) 997-9100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44-00351 | Other | MA | UNITED HEALTH CARE # |
| Y4509301 | Other | MA | MEDICARE ACTIVE PROVIDER TRANSACTION ACCESS NUMBER(PTAN) |
| 351-249 | Other | MA | HARVARD PILGRIM PROVIDER |
| Y36493 | Other | MA | BCBS PROVIDER # |
| 1872698 | Other | MA | CIGNA PROVIDER # |
| 23216-4 | Other | MD | RI BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
270 Huttleston Ave
Fairhaven, MA 02719-1605
Phone (508) 997-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barley Family Healthcare & Rehabilitation PC | Chiropractor | Current | Accepting new patients |
Locations
270 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 997-9100
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 and National Provider Directory roles.
-
- Chiropractor
- Fairhaven, MA
- NPI 1043240849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1811069974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 HUTTLESTON AVE",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027191605",
"telephone_number": "508-997-9100",
"fax_number": "508-993-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 HUTTLESTON AVE",
"city": "FAIRHAVEN",
"state": "MA",
"postal_code": "027191605",
"telephone_number": "508-997-9100",
"fax_number": "508-993-5854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "1943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE #",
"identifier": "44-00351",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ACTIVE PROVIDER TRANSACTION ACCESS NUMBER(PTAN)",
"identifier": "Y4509301",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PROVIDER",
"identifier": "351-249",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "Y36493",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "1872698",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI BCBS PROVIDER #",
"identifier": "23216-4",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhaven, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.