Organization Active NPI

Marshall Mo Chiropractic LLC

  • Chiropractor
  • Marshall, MO
National Provider Identifier
1124850102
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARSHALL MO CHIROPRACTIC LLC
Practice address
754 S Odell Ave
Marshall, MO 65340-2504
Phone
(660) 886-7134
Fax
(660) 886-7135
NPI assigned
Aug 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dr. Remington Siebert, DCNPI 1972352961
Title
Doctor
Phone
(660) 886-7134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

754 S Odell Ave
Marshall, MO 65340-2504

Mailing address

PO Box 792
Marshall, MO 65340-0792
Phone (660) 886-7134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241127003413 MO Part B Supplier - Clinic/Group Practice 4183159171 Receives reassigned benefits from 1 practitioner
Practice locations: Marshall, MO

National Provider Directory

National Provider Directory

Locations

754 S Odell Ave
Marshall, MO 65340
Phone (660) 886-7134

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1124850102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400792",
            "telephone_number": "660-886-7134",
            "fax_number": "660-886-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S ODELL AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402504",
            "telephone_number": "660-886-7134",
            "fax_number": "660-886-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL MO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-17",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "REMINGTON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "660-886-7134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.

Verify at the official NPI Registry.