Individual provider Active NPI

Joseph Patrick Sheridan, D.C.

  • Chiropractor
  • Fairhaven, MA
National Provider Identifier
1811069974
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1943 Issued in MA
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

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
44-00351OtherMAUNITED HEALTH CARE #
Y4509301OtherMAMEDICARE ACTIVE PROVIDER TRANSACTION ACCESS NUMBER(PTAN)
351-249OtherMAHARVARD PILGRIM PROVIDER
Y36493OtherMABCBS PROVIDER #
1872698OtherMACIGNA PROVIDER #
23216-4OtherMDRI BCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000509 MA Practitioner - Chiropractic 1052306859 Reassigns benefits to 1 organization

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
Barley Family Healthcare and Rehabilitation PCGroup PAC ID 9133113723, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Barley Family Healthcare & Rehabilitation PC Chiropractor CurrentSince Jan 1, 2004 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.

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.

Verify at the official NPI Registry.