Active NPI
Nelson Keith Seibert, DC
- Chiropractor
- Port Clinton, OH
National Provider Identifier
1629088554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 840
- Practice address
- 123 E 2ND St
Port Clinton, OH 43452-1114 - Phone
- (419) 732-3189
- Fax
- (419) 734-1963
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 840 | OH | Primary |
Addresses
Primary practice location
123 E 2ND St
Port Clinton, OH 43452-1114
Mailing address
123 E 2ND St
Port Clinton, OH 43452-1114
Phone (419) 732-3189
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0454539 | Medicaid | OH | |
| 2509843 | Other | OH | AETNA PROVIDER # |
| 000000130874 | Other | OH | ANTHEM BCBS |
| 04936 | Other | OH | PARAMOUNT PROVIDER # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012103 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walentin Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
| N Keith Seibert DC, Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Port Clinton, OH
- NPI 1518175199
-
- Chiropractor
- Cornwall, NY
- NPI 1366458101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629088554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E 2ND ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521114",
"telephone_number": "419-732-3189",
"fax_number": "419-734-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E 2ND ST",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521114",
"telephone_number": "419-732-3189",
"fax_number": "419-734-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIBERT",
"first_name": "NELSON",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0454539",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "2509843",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000130874",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT PROVIDER #",
"identifier": "04936",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.