Individual provider Active NPI

Sean Patrick Rogan, D.C.

  • Sports Physician Chiropractor
  • Blue Springs, MO
National Provider Identifier
1912095159
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2003031905 Issued in MO
Practice address
1416 NW State Route 7
Blue Springs, MO 64014-2238
Phone
(816) 229-6633
Fax
(816) 229-6295
NPI assigned
Oct 11, 2006
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 2003031905 MO Primary

Addresses

Primary practice location

1416 NW State Route 7
Blue Springs, MO 64014-2238

Mailing address

1416 NW State Route 7
Blue Springs, MO 64014-2238
Phone (816) 229-6633

Other practice location 1

766 SW US Highway 40
Blue Springs, MO 64015-4602
Phone (816) 229-6633

Other identifiers 1

IdentifierTypeStateIssuer
34337024OtherMOBC/BS OF KANSAS CITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105001022 MO Practitioner - Chiropractic 1658329792

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

750 SW US Hwy 40
Blue Springs, MO 64015-4602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Chiropractic Clinic PC PastSince Dec 8, 2008 Accepting new patients

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1912095159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 NW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142238",
            "telephone_number": "816-229-6633",
            "fax_number": "816-229-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 NW STATE ROUTE 7",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142238",
            "telephone_number": "816-229-6633",
            "fax_number": "816-229-6295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 SW US Highway 40",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640154602",
            "country_code": "US",
            "telephone_number": "816-229-6633",
            "fax_number": "816-229-6295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGAN",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MO",
            "license": "2003031905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF KANSAS CITY",
            "identifier": "34337024",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.