Shane Seibert, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32064 Issued in CA

Practice address

1382 E Alluvial Ave
Ste #106
Fresno, CA 93720-2608

Phone

(559) 432-9700

Fax

(559) 432-9701

NPI assigned

Aug 29, 2011

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shane Seibert, D.C. a Professional Chiropractic Corporation

  • Chiropractor
  • Fresno, CA
  • NPI 1780960146
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1295016723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 E ALLUVIAL AVE",
            "address_2": "STE #106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-432-9700",
            "fax_number": "559-432-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 E ALLUVIAL AVE",
            "address_2": "STE #106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-432-9700",
            "fax_number": "559-432-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackelyn Segura
• Lizett Segura
• Rochell K Segura
• Madison Seib
• Lauren Elizabeth Seibert, CPO
• Andrea Seid, D.O., M.P.H.
• Andrew Blake Seidel
• Jennifer Elaine Seidel, LMFT
• Susan Whittle Seiden, PNP,C, RN
• Sanaz Seifi, DDS

• Chiropractor in Fresno, CA
• Providers in Fresno, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.