Individual provider Active NPI

Matt J Sheehy, D.C.

  • Chiropractor
  • Cupertino, CA
National Provider Identifier
1972760254
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
29508 Issued in CA
Practice address
21580 Stevens Creek Blvd
Suite 110
Cupertino, CA 95014-1244
Phone
(408) 569-2374
Fax
(408) 252-4960
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 29508 CA Primary

Addresses

Primary practice location

21580 Stevens Creek Blvd
Suite 110
Cupertino, CA 95014-1244

Mailing address

21580 Stevens Creek Blvd
Suite 110
Cupertino, CA 95014-1244
Phone (408) 569-2374

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
29508CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carbone Chiropractic Center, Inc. Chiropractor PastSince Nov 1, 2023 Accepting new patients

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, 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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1972760254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21580 STEVENS CREEK BLVD",
            "address_2": "SUITE 110",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141244",
            "telephone_number": "408-569-2374",
            "fax_number": "408-252-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21580 STEVENS CREEK BLVD",
            "address_2": "SUITE 110",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141244",
            "telephone_number": "408-569-2374",
            "fax_number": "408-252-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHY",
        "first_name": "MATT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "29508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

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