Individual provider Active NPI

Michael Seifried, DC

  • Sports Physician Chiropractor
  • Phoenix, AZ
National Provider Identifier
1336119924
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5497 Issued in AZ
Practice address
40 N Central Ave
Suite #775
Phoenix, AZ 85004-4424
Phone
(602) 889-5833
Fax
(602) 889-5834
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 5497 AZ Primary

Addresses

Primary practice location

40 N Central Ave
Suite #775
Phoenix, AZ 85004-4424

Mailing address

7252 N Black Rock TRL
Paradise Valley, AZ 85253-2803
Phone (480) 473-8664

Other identifiers 1

IdentifierTypeStateIssuer
5497OtherAZSTATE BOARD LICENSE NUMBE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5497AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Health Services, LLC PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336119924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 N BLACK ROCK TRL",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852532803",
            "telephone_number": "480-473-8664",
            "fax_number": "602-889-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N CENTRAL AVE",
            "address_2": "SUITE #775",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044424",
            "telephone_number": "602-889-5833",
            "fax_number": "602-889-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFRIED",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "5497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE NUMBE",
            "identifier": "5497",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.