Individual provider Active NPI

Scott J. Siegel, D.C.

  • Chiropractor
  • Silverdale, WA
National Provider Identifier
1477695690
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60070004 Issued in WA
Practice address
2851 NW Kitsap PL
Silverdale, WA 98383-9447
Phone
(360) 692-0181
Fax
(360) 692-3847
NPI assigned
Feb 13, 2007
Last updated
Jan 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X004299-1 NY
Chiropractor 111N00000X CH60070004 WA Primary

Addresses

Primary practice location

2851 NW Kitsap PL
Silverdale, WA 98383-9447

Mailing address

2851 NW Kitsap PL
Silverdale, WA 98383-9447
Phone (360) 692-0181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910001006 WA Practitioner - ChiropracticPractitioner - Oral Surgery 2668562588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2851 NW Kitsap PL
Silverdale, WA 98383-9447
Phone (360) 692-0181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X004299-1NYMDChiropractor
CH60070004WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CK Chiropractic Office, P.S. Chiropractor CurrentSince Dec 17, 2007 Accepting new patients

Locations

50 Court St
Ste 611
Brooklyn, NY 11201
Phone (718) 522-2004

2851 NW Kitsap Pl
Silverdale, WA 98383
Phone (360) 692-0181

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1477695690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 NW KITSAP PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839447",
            "telephone_number": "360-692-0181",
            "fax_number": "360-692-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 NW KITSAP PL",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839447",
            "telephone_number": "360-692-0181",
            "fax_number": "360-692-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004299-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60070004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.