Individual provider Active NPI

Emily Dodds Mickle Siehnel, D.C.

  • Chiropractor
  • Carlsbad, CA
National Provider Identifier
1689111494
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33779 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 107
Carlsbad, CA 92011-4219
Phone
(760) 893-6459
NPI assigned
Jan 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33779 CA Primary

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 107
Carlsbad, CA 92011-4219

Mailing address

6010 Hidden Valley Rd Ste 107
Carlsbad, CA 92011-4219
Phone (760) 893-6459

Other names 1

  • Emily Dodds Mickle Former name

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

LicenseStateTypeSpecialty
33779CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kline Chiropractic Inc. Chiropractor CurrentSince Oct 31, 2021 Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 107
Carlsbad, CA 92011
Phone (442) 232-6708

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14469/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1689111494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 107",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-893-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 107",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-893-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEHNEL",
        "first_name": "EMILY",
        "middle_name": "DODDS MICKLE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MICKLE",
            "middle_name": "DODDS",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.