Individual provider Active NPI

Scott A Sieja, D.C.

  • Chiropractor
  • Watauga, TX
National Provider Identifier
1215904420
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8480 Issued in TX
Practice address
6200 Denton Hwy
Watauga, TX 76148-3023
Phone
(817) 849-2395
Fax
(817) 849-2394
NPI assigned
Mar 7, 2006
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8480 TX Primary

Addresses

Primary practice location

6200 Denton Hwy
Watauga, TX 76148-3023

Mailing address

PO Box 48413
Watauga, TX 76148-0413
Phone (817) 595-9206

Other identifiers 5

IdentifierTypeStateIssuer
606293OtherTXBLUE CROSS BLUE SHIELD
642008OtherTXUNITED HEALTH CARE
642008/2980599OtherTXACN
1463804MedicaidTX
7848268OtherTXAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000086 TX Practitioner - Chiropractic 7810158508 Practice locations: Richland Hills, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7201 Baker Blvd
Richland Hills, TX 76118-5864
Phone (817) 595-9206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8480TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Clinics of North Texas Inc CurrentSince Apr 9, 2024 Accepting new patients
Baker Boulevard Family Chiropractic, P.C. Chiropractor Past Accepting new patients

Locations

6200 Denton Hwy
Watauga, TX 76148
Phone (682) 348-5683

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1215904420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48413",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761480413",
            "telephone_number": "817-595-9206",
            "fax_number": "817-595-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 DENTON HWY",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483023",
            "telephone_number": "817-849-2395",
            "fax_number": "817-849-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEJA",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "606293",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "642008",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "642008/2980599",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463804",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7848268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

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