Peter Sidhom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14116 Issued in FL

Practice address

1601 Clint Moore Rd Ste 182
Boca Raton, FL 33487-5713

Phone

(561) 988-1998

NPI assigned

Nov 17, 2022

Last updated

Nov 17, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buchanan Physical Medicine, Inc.Group PAC ID 1153609441, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Buchanan Physical Medicine, Inc

  dba Buchanan Health Center

  • Family Medicine Physician
  • Leesburg, FL
  • NPI 1407212087
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1225747264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 182",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 182",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875713",
            "telephone_number": "561-988-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHOM",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marks Siciliano-Hartt, PH.D.
• Arshad Jamil Siddiqui, MD
• Pervez A Siddiqui, MD
• Raja Siddiqui, DPT
• Lawrence Sider, OD
• Jeffrey S Siegel, DDS
• Richard M. Siegel, PHD, LMHC, CST
• William Siegel, MD
• Dennis Francisco Sierra, DMD
• Onelsy Sierra, PT

• Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.