Candice M Sieben, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2016-00432 Issued in NC

Practice address

75 Emerson Bay Rd
Suite 102
Carolina Shores, NC 28467-2498

Phone

(910) 579-8363

NPI assigned

Dec 21, 2005

Last updated

Oct 31, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Physicians Inc

  dba Kettering Health Medical Group

  • Family Medicine Physician
  • Kettering, OH
  • NPI 1437125572
  NPD (past)
• Providence Medical Group, Inc.

  dba PMG Vascular Imaging

  • Diagnostic Radiology Physician
  • Moraine, OH
  • NPI 1659726768
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1114903143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-579-8363",
            "fax_number": "910-579-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EMERSON BAY RD",
            "address_2": "SUITE 102",
            "city": "CAROLINA SHORES",
            "state": "NC",
            "postal_code": "284672498",
            "telephone_number": "910-579-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBEN",
        "first_name": "CANDICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-00432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Rakip, MS, EDD
• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry - Calabash)
• Maria Rivell, MD
• Alecia B Roberts
• Charlotte Lee Roberts, LPC
• Stateline Wellness Transport LLC
• Adam David Thompson, PA-C
• Paul C. Whitesides Jr., M.D.
• Barbara Annette Wickham, NP
• Natalie Yount, FNP

• Family Medicine Physician in Carolina Shores, NC
• Providers in Carolina Shores, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.