Individual provider Active NPI

Patrick John Sheeran, D.C.

  • Chiropractor
  • Grandville, MI
National Provider Identifier
1982610929
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005261 Issued in MI
Practice address
36 44TH St SW
Grandville, MI 49418-2177
Phone
(616) 457-5700
Fax
(616) 457-5700
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 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 2301005261 MI Primary

Addresses

Primary practice location

36 44TH St SW
Grandville, MI 49418-2177

Mailing address

36 44TH St SW
Grandville, MI 49418-2177
Phone (616) 457-5700

Other identifiers 4

IdentifierTypeStateIssuer
950G011560OtherMIBCBS OF MICHIGAN
P00467155OtherMIRAILROAD MEDICARE
P11143913OtherMIMULTIPLAN
P90582OtherMIBCN OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000254 MI Practitioner - Chiropractic 3971674276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zuidema Chiropractic PLLCGroup PAC ID 4486034329, 4 clinicians

Practice addresses (Care Compare)

36 44TH St SW
Mission Chiropractic and Health
Grandville, MI 49418-2177
Phone (616) 457-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zuidema Chiropractic PLLC Chiropractor CurrentSince May 21, 2023 Accepting new patients

Locations

36 44th St SW
Grandville, MI 49418
Phone (616) 457-5700

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1982610929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182177",
            "telephone_number": "616-457-5700",
            "fax_number": "616-457-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182177",
            "telephone_number": "616-457-5700",
            "fax_number": "616-457-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERAN",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950G011560",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00467155",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P11143913",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN OF MICHIGAN",
            "identifier": "P90582",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.