Individual provider Active NPI

Clifton G Siess, D.C.

  • Chiropractor
  • Cranberry Township, PA
National Provider Identifier
1861457749
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003052L Issued in PA
Practice address
101 Smith Dr
Cranberry Township, PA 16066-4129
Phone
(724) 776-4855
Fax
(724) 776-1560
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003052L PA Primary

Addresses

Primary practice location

101 Smith Dr
Cranberry Township, PA 16066-4129

Mailing address

101 Smith Dr
Suite7
Cranberry TWP, PA 16066-4129
Phone (724) 776-4855

Other identifiers 5

IdentifierTypeStateIssuer
100472OtherPAUPMC
414047OtherPAHEALTH AMERICA
11026526OtherPACAQH
001392600OtherPAHIGHMARK BLUE SHIELD
1022426OtherPAGATEWAY

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC003052LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Siess Chiropractic Clinic PC Chiropractor Past Accepting new patients

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1861457749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SMITH DR",
            "address_2": "SUITE7",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160664129",
            "telephone_number": "724-776-4855",
            "fax_number": "724-776-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SMITH DR",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160664129",
            "telephone_number": "724-776-4855",
            "fax_number": "724-776-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIESS",
        "first_name": "CLIFTON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003052L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "100472",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "414047",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11026526",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001392600",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1022426",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.