Individual provider Active NPI

Michael Edward Seldow, D.C.

  • Chiropractor
  • Easton, PA
National Provider Identifier
1053342667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007586-L Issued in PA
Practice address
1631 Northampton St
Easton, PA 18042-3131
Phone
(610) 252-6686
Fax
(484) 546-0076
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-007586-L PA Primary

Addresses

Primary practice location

1631 Northampton St
Easton, PA 18042-3131

Mailing address

1631 Northampton St
Easton, PA 18042-3131
Phone (610) 252-6686

Other identifiers 4

IdentifierTypeStateIssuer
02138701OtherPACAPITAL BLUE CROSS
0115985000OtherPAINDEPENDENCE BLUE CROSS
2332602OtherPAAETNA US HEALTHCARE
811866OtherPAHIGHMARK BLUE SHIELD

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC-007586-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Chiropractic Center Chiropractor CurrentSince Jan 26, 2020 Accepting new patients
Palank Chiropractic LLC Chiropractor Past Accepting new patients

Locations

1631 Northampton St
Easton, PA 18042
Phone (610) 252-6686

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053342667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423131",
            "telephone_number": "610-252-6686",
            "fax_number": "484-546-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423131",
            "telephone_number": "610-252-6686",
            "fax_number": "484-546-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDOW",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007586-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02138701",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0115985000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2332602",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "811866",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.