Active NPI
Jon Dante Sibert, D.C.
- Sports Physician Chiropractor
- Kerrville, TX
National Provider Identifier
1871782151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 4273
- Practice address
- 1001 Water St
Suite D200
Kerrville, TX 78028-3523 - Phone
- (830) 792-6600
- Fax
- (830) 792-6602
- NPI assigned
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 4273 | TX | Primary |
Addresses
Primary practice location
1001 Water St
Suite D200
Kerrville, TX 78028-3523
Mailing address
133 W Water St
Kerrville, TX 78028-5243
Phone (830) 792-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R7620 | Other | TX | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050224000095 | TX | Practitioner - Chiropractic | 5698728236 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
133 W Water St
Jon Sibert DC
Kerrville, TX 78028-5243
Phone (830) 896-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8981 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilson & Sibert Chiropractic, LLC | Current | Accepting new patients | |
| Jon Sibert DC PA | Sports Physician | Current | Accepting new patients |
| L & L Central Healthcare, P.C. | Past | Accepting new patients |
Locations
1001 Water St
Ste D-200
Kerrville, TX 78028
Phone (830) 792-6600
133 W Water St
Kerrville, TX 78028
Phone (830) 896-2273
Organizations & group practices 3
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.
-
- Chiropractor
- Kerrville, TX
- NPI 1598640880
-
- Chiropractor
- Arlington, TX
- NPI 1538376322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1871782151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W WATER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285243",
"telephone_number": "830-792-6600",
"fax_number": "830-792-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WATER ST",
"address_2": "SUITE D200",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780283523",
"telephone_number": "830-792-6600",
"fax_number": "830-792-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBERT",
"first_name": "JON",
"middle_name": "DANTE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "4273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8R7620",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.