Individual provider Active NPI

Jacob S Seng, D.C.

  • Chiropractor
  • Ludington, MI
National Provider Identifier
1063743391
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009634 Issued in MI
Practice address
311 S Rath Ave
Ludington, MI 49431-2041
Phone
(231) 843-8200
Fax
(231) 425-3333
NPI assigned
Jan 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009634 MI Primary

Addresses

Primary practice location

311 S Rath Ave
Ludington, MI 49431-2041

Mailing address

311 S Rath Ave
Ludington, MI 49431-2041
Phone (231) 843-8200

Other practice location 1

300 S Rath Ave
Suite 102
Ludington, MI 49431-3003
Phone (231) 843-4333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000776 MI Practitioner - Chiropractic 9234268954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Chiropractic PCGroup PAC ID 4880976422, 2 clinicians

Practice addresses (Care Compare)

311 S Rath Ave
Ludington, MI 49431-2041
Phone (231) 843-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1063743391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S RATH AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312041",
            "telephone_number": "231-843-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S RATH AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312041",
            "telephone_number": "231-843-8200",
            "fax_number": "231-425-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Rath Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494313003",
            "country_code": "US",
            "telephone_number": "231-843-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENG",
        "first_name": "JACOB",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-27",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.