Seth D. Tyberg, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5116 Issued in MN

Legal business name

SETH D. TYBERG, D.C., P.A.

Doing business as

Spinal Health Professionals

Practice address

4228 Power Dr NW
Bemidji, MN 56601-5102

Phone

(218) 444-2117

NPI assigned

Sep 5, 2012

Last updated

Dec 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Seth David Tyberg, D.C.NPI 1164695078

Title

Chiropractor

Phone

(218) 444-2117

Specialties & licenses 1

Addresses

Other names 1

• Spinal Health Professionals Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Seth David Tyberg, D.C.

  • Chiropractor
  • Bemidji, MN
  • NPI 1164695078
  Authorized official Same address or phone

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1174872212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 POWER DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015102",
            "telephone_number": "218-444-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 POWER DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015102",
            "telephone_number": "218-444-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH D. TYBERG, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "TYBERG",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "218-444-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca C Secore, LMFT
• Jolyn Seitz, M.D.
• Jeremiah Sellheim, PHARMD
• Martin Harlen Sellner
• William Cody Sessions, M.D.
• Jody Severson
• Nicole Severts, CNP
• Alexis June Sewall
• Mark A Shanfeld, M.D.
• McKenna Mohr Shanfeld

• Chiropractor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.