Active NPI
Eileen M Sipple, D.C.
- Chiropractor
- Bethel, OH
National Provider Identifier
1043391931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- OH-1646
- Practice address
- 3090 Angel Dr
Bethel, OH 45106-9533 - Phone
- (513) 734-6555
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | OH-1646 | OH | Primary |
Addresses
Primary practice location
3090 Angel Dr
Bethel, OH 45106-9533
Mailing address
3090 Angel Dr
Bethel, OH 45106-9533
Phone (513) 734-6555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2489661001 | Other | OH | MEDICAL MUTUAL ID |
| 000000013728 | Other | OH | BLUE CROSS BLUE SHIELD ID |
| 0689278 | Medicaid | OH | |
| 1340C-31-1224185 | Other | OH | HUMANA |
| 44-80841 | Other | OH | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH-1646 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Physical Medicine Inc | Past | 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 and National Provider Directory roles.
-
- Chiropractor
- Bethel, OH
- NPI 1013126846
-
- General Practice Physician
- Bethel, OH
- NPI 1750800843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1043391931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 ANGEL DR",
"city": "BETHEL",
"state": "OH",
"postal_code": "451069533",
"telephone_number": "513-734-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 ANGEL DR",
"city": "BETHEL",
"state": "OH",
"postal_code": "451069533",
"telephone_number": "513-734-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPPLE",
"first_name": "EILEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "OH-1646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL ID",
"identifier": "2489661001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ID",
"identifier": "000000013728",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0689278",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "1340C-31-1224185",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "44-80841",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel, OH
- Angela Roberts, RN BSN
- Ellen Elizabeth Rosenfeldt
- Scott Bernhardt Schoenhoeft
- Gaurang Shah, D.O.
- Sipple Clinic of Chiropractic
- Jerry O Sipple, D.C.
- Paulette No Middle Name Smith
- Southwest Convenience Clinic Inc
- Southwest Healthcare of Brown County Ohio, LLC
- Southwest Healthcare of Brown County Ohio, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.