Individual provider Active NPI

Sean A McCants, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1871524645
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SCOO5626 Issued in PA
Practice address
5656 Chew Ave
Philadelphia, PA 19138-1742
Phone
(215) 991-9211
Fax
(215) 991-9321
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SCOO5626 PA Primary

Addresses

Primary practice location

5656 Chew Ave
Philadelphia, PA 19138-1742

Mailing address

1217 Snyder Ave # 1
Philadelphia, PA 19148-5512
Phone (215) 465-5342

Other identifiers 3

IdentifierTypeStateIssuer
2225531000OtherPAAMERIHEALTH
30020475OtherPAKEYSTONE MERCY
01968145MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SCOO5626PAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1871524645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SNYDER AVE # 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191485512",
            "telephone_number": "215-465-5342",
            "fax_number": "800-537-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 CHEW AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381742",
            "telephone_number": "215-991-9211",
            "fax_number": "215-991-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANTS",
        "first_name": "SEAN",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SCOO5626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2225531000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30020475",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01968145",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.