NPIMap

Individual provider Active NPI

Seth Black, DC

  • Chiropractor
  • Cuba, MO
National Provider Identifier
1508044991
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008001513 Issued in MO
Practice address
501 S Franklin St
Suite a
Cuba, MO 65453-1409
Phone
(573) 885-2003
Fax
(573) 885-2004
NPI assigned
Feb 7, 2008
Last updated
Feb 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008001513 MO Primary

Addresses

Primary practice location

501 S Franklin St
Suite a
Cuba, MO 65453-1409

Mailing address

501 S Franklin St
Suite a
Cuba, MO 65453-1409
Phone (573) 885-2003

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Spinal Rehab LLC Chiropractor PastSince Mar 1, 2017 Accepting new patients
Chiropractic and Spinal Rehab, LLC Past Accepting new patients
Hoyle Chiropractic Chiropractor PastSince Oct 1, 2006 Accepting new patients

Organizations & group practices 3

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1508044991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S FRANKLIN ST",
            "address_2": "SUITE A",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531409",
            "telephone_number": "573-885-2003",
            "fax_number": "573-885-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S FRANKLIN ST",
            "address_2": "SUITE A",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654531409",
            "telephone_number": "573-885-2003",
            "fax_number": "573-885-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008001513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.