Individual provider Active NPI

William J Seidl, D.C.

  • Chiropractor
  • Carmichael, CA
National Provider Identifier
1053630624
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34916 Issued in CA
Practice address
7220 Fair Oaks Blvd
Ste B
Carmichael, CA 95608-6400
Phone
(916) 489-7246
NPI assigned
May 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5379 MN
Chiropractor 111N00000X 34916 CA Primary

Addresses

Primary practice location

7220 Fair Oaks Blvd
Ste B
Carmichael, CA 95608-6400

Mailing address

7220 Fair Oaks Blvd
Ste B
Carmichael, CA 95608-6400
Phone (916) 489-7246

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
34916CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Hardoin, Professional Chiropractic Corp. Chiropractor CurrentSince Oct 31, 2021 Accepting new patients
LC Chiropractic PC Chiropractor CurrentSince Aug 28, 2022 Accepting new patients

Locations

7220 Fair Oaks Blvd
Ste B
Carmichael, CA 95608
Phone (916) 489-7246

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1053630624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 FAIR OAKS BLVD",
            "address_2": "STE B",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086400",
            "telephone_number": "916-489-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 FAIR OAKS BLVD",
            "address_2": "STE B",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086400",
            "telephone_number": "916-489-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDL",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2022-07-15",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5379",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.