Active NPI
Thomas Sievert, D.C.
- Chiropractor
- Fort Myers, FL
National Provider Identifier
1245280064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 3599
- Practice address
- 3880 Colonial Blvd Ste 1a
Sievert Clinic, LLC
Fort Myers, FL 33966-1062 - Phone
- (239) 936-1233
- Fax
- (239) 936-8576
- NPI assigned
- May 11, 2006
- Last updated
- Sep 23, 2013
- Sex
- Male
- Sole proprietor
- No
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 | CH 3599 | FL | Primary |
Addresses
Primary practice location
3880 Colonial Blvd Ste 1a
Sievert Clinic, LLC
Fort Myers, FL 33966-1062
Mailing address
3880 Colonial Blvd Ste 1a
Sievert Clinic, LLC
Fort Myers, FL 33966-1062
Phone (239) 936-1233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88733 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 3599 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Medical Group of Southwest Florida,LLC | Past | Accepting new patients | |
| Fort Myers Chiropractic & Nutrition Center, Inc. | Chiropractor | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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
- Fort Myers, FL
- NPI 1396126900
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1104259035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1245280064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 COLONIAL BLVD STE 1A",
"address_2": "SIEVERT CLINIC, LLC",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661062",
"telephone_number": "239-936-1233",
"fax_number": "239-936-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 COLONIAL BLVD STE 1A",
"address_2": "SIEVERT CLINIC, LLC",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661062",
"telephone_number": "239-936-1233",
"fax_number": "239-936-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEVERT",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 3599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "88733",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.