Scott R Siegel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005416 Issued in MI

Practice address

12880 Northline Rd
Southgate, MI 48195-1110

Phone

(734) 246-8370

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siegel Chiropractic ClinicGroup PAC ID 8325132970, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Siegel Chiropractic Clinic

  • Chiropractor
  • Woodhaven, MI
  • NPI 1457491524
  Medicare reassignment Care Compare group Authorized official
• New Boston Chiropractic Life Center, Corporation

  • Chiropractor
  • Tecumseh, MI
  • NPI 1811196272
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437249448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12880 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951110",
            "telephone_number": "734-246-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951110",
            "telephone_number": "734-246-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Bernard Shore, DC
• Tyler Shumake
• Lauren Alexis Shupp
• Tenily Cansingan Sicard
• Randy Sidebottom, MICHIGAN SOCIAL WORK
• Danielle Sienkiewicz
• Silbert Chiropractic Clinic PC
• David Silbert, D.C.
• Micheline Silva
• Amelia Mariah Simmons, LMSW

• Chiropractor in Southgate, MI
• Providers in Southgate, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.