Kendra Sietsema, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34724 Issued in CA

Practice address

272 N El Camino Real Ste C
Encinitas, CA 92024-2857

Phone

(612) 889-9722

NPI assigned

Dec 10, 2013

Last updated

Sep 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 100 Chiropractic Karsanto Apc

  • Chiropractor
  • Chula Vista, CA
  • NPI 1316725120
  Medicare reassignment NPD Authorized official
• 100 Chiropractic Sietsema Inc

  • Chiropractor
  • Encinitas, CA
  • NPI 1902409030
  NPD Authorized official
• Premier Health of South Minneapolis LTD

  • Chiropractor
  • Minneapolis, MN
  • NPI 1194912444
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1528499050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 OHIO ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164396",
            "telephone_number": "612-889-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 N EL CAMINO REAL STE C",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242857",
            "telephone_number": "612-889-9722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1813 E Lake St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071835",
            "country_code": "US",
            "telephone_number": "612-746-5557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIETSEMA",
        "first_name": "KENDRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5847",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sierra Asset Management, LLC
• Sieu P Truong M.D. Inc
• Sarah Siler
• Morgan Dana Silldorff, M.D.
• Hayley Lynn Silverman, PSY.D.
• Sima Shakiba, M.D. Inc.

• Chiropractor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.