Individual provider Active NPI

Joshua Steven Seiler, D.C.

  • Chiropractor
  • Evansville, IN
National Provider Identifier
1760628705
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002427A Issued in IN
Practice address
5000 E Virginia St Ste 4
Evansville, IN 47715-2672
Phone
(812) 437-7171
Fax
(812) 437-7173
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 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 08002427A IN Primary

Addresses

Primary practice location

5000 E Virginia St Ste 4
Evansville, IN 47715-2672

Mailing address

5000 E Virginia St Ste 4
Evansville, IN 47715-2672
Phone (812) 437-7171

Other identifiers 1

IdentifierTypeStateIssuer
200927550MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000661 IN Practitioner - Chiropractic 1355405564 Practice locations: Evansville, IN; Princeton, IN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5000 E Virginia St
Suite 4
Evansville, IN 47715-2672
Phone (812) 437-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Health & Wellness LLC Chiropractor CurrentSince Aug 29, 2021 Accepting new patients

Locations

5000 E Virginia St
Ste 4
Evansville, IN 47715
Phone (812) 431-9133

109 E State St
Princeton, IN 47670
Phone (812) 385-2233

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": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1760628705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E VIRGINIA ST STE 4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152672",
            "telephone_number": "812-437-7171",
            "fax_number": "812-437-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E VIRGINIA ST STE 4",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152672",
            "telephone_number": "812-437-7171",
            "fax_number": "812-437-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEILER",
        "first_name": "JOSHUA",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002427A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200927550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.