Individual provider Active NPI

Sean E McCauley, DC

  • Chiropractor
  • Gardner, MA
National Provider Identifier
1952403032
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2562 Issued in MA
Practice address
31 Lake St
Suite 151
Gardner, MA 01440
Phone
(978) 632-9500
Fax
(978) 632-9579
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2562 MA Primary

Addresses

Primary practice location

31 Lake St
Suite 151
Gardner, MA 01440

Mailing address

31 Lake St
Suite 151
Gardner, MA 01440-3879
Phone (978) 632-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809004399 NC Practitioner - Chiropractic 4587568399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Spine Specialists PLLCGroup PAC ID 5991173676, 4 clinicians

Practice addresses (Care Compare)

141 Chatham Downs Dr
Suite 204
Chapel Hill, NC 27517-6118
Phone (919) 969-0931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4864NCMDClinical Psychologist
2562MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Spine Specialists PLLC Chiropractor CurrentSince Nov 1, 2022 Accepting new patients
Ja Cantu Service Group LLC Chiropractor Past Accepting new patients
Richard E Genovese PastSince Mar 1, 2006 Accepting new patients

Locations

141 Chatham Downs Dr
Ste 204
Chapel Hill, NC 27517
Phone (919) 851-6740

1016 Thompson St
#J
Pittsboro, NC 27312
Phone (919) 642-0555

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1952403032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LAKE ST",
            "address_2": "SUITE 151",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403879",
            "telephone_number": "978-632-9500",
            "fax_number": "978-632-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LAKE ST",
            "address_2": "SUITE 151",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "01440",
            "telephone_number": "978-632-9500",
            "fax_number": "978-632-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "SEAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.