Individual provider Active NPI

Kelsey Sue Seibert, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1477100154
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8846 Issued in AZ
Practice address
3919 W Cactus Rd
Phoenix, AZ 85029-2935
Phone
(602) 547-1860
Fax
(602) 547-1861
NPI assigned
Aug 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8846 AZ Primary

Addresses

Primary practice location

3919 W Cactus Rd
Phoenix, AZ 85029-2935

Mailing address

3919 W Cactus Rd
Phoenix, AZ 85029-2935
Phone (602) 547-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008000517 AZ Practitioner - Chiropractic 6800127713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oracle Industries I LTDGroup PAC ID 6305821653, 4 clinicians

Practice addresses (Care Compare)

3919 W Cactus Rd
Phoenix, AZ 85029-2935
Phone (602) 547-1860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8846AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oracle Industries I LTD Chiropractor CurrentSince Sep 6, 2019 Accepting new patients

Locations

3919 W Cactus Rd
Phoenix, AZ 85029
Phone (602) 547-1860

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1477100154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292935",
            "telephone_number": "602-547-1860",
            "fax_number": "602-547-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292935",
            "telephone_number": "602-547-1860",
            "fax_number": "602-547-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "KELSEY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8846",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 2, 2022; 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.