Individual provider Active NPI

Dawn Renae Sifft, D.C.

  • Chiropractor
  • Westerville, OH
National Provider Identifier
1780886960
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1247 Issued in OH
Practice address
107 Commerce Park Dr Ste a
Westerville, OH 43082-6057
Phone
(614) 794-0200
Fax
(614) 794-0200
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1247 OH Primary

Addresses

Primary practice location

107 Commerce Park Dr Ste a
Westerville, OH 43082-6057

Mailing address

107 Commerce Park Dr Ste a
Westerville, OH 43082-6057
Phone (614) 794-0200

Other identifiers 1

IdentifierTypeStateIssuer
00000120047OtherOHANTHEM PIN NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000686 OH Practitioner - Chiropractic 6103091434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

107 Commerce Park Dr
Suite a
Westerville, OH 43082-6057
Phone (614) 794-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1247OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Westerville Back Care Center Inc Chiropractor CurrentSince Oct 1, 1990 Accepting new patients

Locations

107 Commerce Park Dr
Ste A
Westerville, OH 43082
Phone (614) 794-0200

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1780886960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826057",
            "telephone_number": "614-794-0200",
            "fax_number": "614-794-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COMMERCE PARK DR STE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826057",
            "telephone_number": "614-794-0200",
            "fax_number": "614-794-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFFT",
        "first_name": "DAWN",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "00000120047",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.