Individual provider Active NPI

Richard Edward Seibert, DC

  • Chiropractor
  • Merrick, NY
National Provider Identifier
1316921661
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005003 Issued in NY
Practice address
1991 Merrick Ave
Merrick, NY 11566-3145
Phone
(516) 867-8585
Fax
(516) 867-1505
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005003 NY Primary
Sports Physician Chiropractor 111NS0005X X005003 NY

Addresses

Primary practice location

1991 Merrick Ave
Merrick, NY 11566-3145

Mailing address

1991 Merrick Ave
Merrick, NY 11566-3145
Phone (516) 867-8585

Other identifiers 5

IdentifierTypeStateIssuer
0014576OtherGHI
563471OtherUNITED HEALTH CARE
8842419-003OtherCIGNA
4304653OtherAETNA
P2752005OtherOXFORD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000620 NY Practitioner - ChiropracticPractitioner - Sports Medicine 3476729310 Practice locations: Merrick, NY

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1991 Merrick Ave
Merrick, NY 11566-3145
Phone (516) 867-8585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005003NYMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316921661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663145",
            "telephone_number": "516-867-8585",
            "fax_number": "516-867-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663145",
            "telephone_number": "516-867-8585",
            "fax_number": "516-867-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005003",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X005003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0014576",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "563471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8842419-003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4304653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2752005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.