Organization Active NPI

Siebert Mobility, Inc.

  • Vehicle Modifications Contractor
  • Grimes, IA
National Provider Identifier
1548481591
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Legal business name
SIEBERT MOBILITY, INC.
Practice address
3450 SE Miehe Drive
Suite 1
Grimes, IA 50111
Phone
(515) 986-3010
Fax
(515) 986-3108
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Sherry Mattson
Title
Office MGR
Phone
(515) 986-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WV0202X Primary

Addresses

Primary practice location

3450 SE Miehe Drive
Suite 1
Grimes, IA 50111

Mailing address

3450 SE Miehe Drive
Suite 1
Grimes, IA 50111
Phone (515) 986-3010

Other identifiers 1

IdentifierTypeStateIssuer
0729624MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Conversion Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3450 SE Miehe Dr
Ste 1
Grimes, IA 50111
Phone (515) 448-2020

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1548481591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 SE MIEHE DRIVE",
            "address_2": "SUITE 1",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "50111",
            "telephone_number": "515-986-3010",
            "fax_number": "515-986-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 SE MIEHE DRIVE",
            "address_2": "SUITE 1",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "50111",
            "telephone_number": "515-986-3010",
            "fax_number": "515-986-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEBERT MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "515-986-3010"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0729624",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.