Active NPI
Michael Barry Seidman, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1285632588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1946012
- Practice address
- 741 Brady St
Palmer Chiropractic College
Davenport, IA 52803-5209 - Phone
- (414) 884-5303
- Fax
- (563) 884-5227
- NPI assigned
- Jul 11, 2005
- Last updated
- Jun 30, 2010
- 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 | 1946012 | WI | Primary |
Addresses
Primary practice location
741 Brady St
Palmer Chiropractic College
Davenport, IA 52803-5209
Mailing address
741 Brady St.
Palmer Center for Chiropractic Research
Davenport, IA 52803-5209
Phone (563) 505-8133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38846000 | Medicaid | WI |
Other names 1
- Dr. Michael Barry Seidman
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 |
|---|---|---|---|
| 1946012 | WI | MD | Chiropractor |
| 1946 | WI | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1285632588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 BRADY ST.",
"address_2": "PALMER CENTER FOR CHIROPRACTIC RESEARCH",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035209",
"telephone_number": "563-505-8133",
"fax_number": "563-884-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 BRADY ST",
"address_2": "PALMER CHIROPRACTIC COLLEGE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528035209",
"telephone_number": "414-884-5303",
"fax_number": "563-884-5227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDMAN",
"first_name": "MICHAEL",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "1946012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38846000",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "SEIDMAN",
"middle_name": "BARRY",
"prefix": "DR.",
"credential": "D.C., M.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.