Active NPI
Siebert Mobility, Inc.
- Vehicle Modifications Contractor
- Grimes, IA
National Provider Identifier
1548481591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vehicle Modifications Contractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Vehicle Modifications Contractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0729624 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Conversion Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Benton, AR
- NPI 1679875363
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.