Active NPI
Scott A Sieja, D.C.
- Chiropractor
- Watauga, TX
National Provider Identifier
1215904420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8480
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606293 | Other | TX | BLUE CROSS BLUE SHIELD |
| 642008 | Other | TX | UNITED HEALTH CARE |
| 642008/2980599 | Other | TX | ACN |
| 1463804 | Medicaid | TX | |
| 7848268 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8480 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Clinics of North Texas Inc | Current | 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.
-
- Chiropractor
- Richland Hills, TX
- NPI 1396070355
-
- Family Medicine Physician
- Watauga, TX
- NPI 1629820519
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.