Shane Seibert, D.C. a Professional Chiropractic Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SHANE SEIBERT, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION

Practice address

1382 E Alluvial Ave
Suite 106
Fresno, CA 93720-2608

Phone

(559) 432-9700

Fax

(559) 432-9701

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Shane Seibert, D.C.NPI 1295016723

Title

President

Phone

(559) 432-9700

Specialties & licenses 1

Addresses

Other names 1

• Elite Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane Seibert, D.C.

  • Chiropractor
  • Fresno, CA
  • NPI 1295016723
  Medicare reassignment Authorized official
• Sandeep K Bhangoo, N.P

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1265716542
  NPD
• Alex Yasser Hernandez, M.D.

  • Family Medicine Physician
  • Clovis, CA
  • NPI 1720310592
  NPD
• Christopher James Long, D.C.

  • Chiropractor
  • Fresno, CA
  • NPI 1114969094
  NPD
• Sara Margarida Sousa, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Chula Vista, CA
  • NPI 1629251269
  NPD
• Matthew David Nichols, DC

  • Chiropractor
  • Fresno, CA
  • NPI 1437073095
  NPD (past)

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1780960146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 E ALLUVIAL AVE",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-432-9700",
            "fax_number": "559-432-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 E ALLUVIAL AVE",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-432-9700",
            "fax_number": "559-432-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE SEIBERT, D.C. A PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "SEIBERT",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-432-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary A. Shamshoian, L.M.F.T.
• Shan Gong DMD Ms Inc
• Zoofi Shan, M.D.
• Siobhan Kay Shanahan-Ortega, LPT
• Elizabeth Grace Shanahan, MD
• Lisa Ann Shanoian, M.S, R.D.
• Rohini Shantharam, M.D.
• Sanagaram S Shantharam, MD
• Haley Yvonne Shapazian
• Paul Shapazian

• Chiropractor in Fresno, CA
• Providers in Fresno, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.