Individual provider Active NPI

Jon Dante Sibert, D.C.

  • Sports Physician Chiropractor
  • Kerrville, TX
National Provider Identifier
1871782151
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4273 Issued in TX
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

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8R7620OtherTXBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
8981TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson & Sibert Chiropractic, LLC CurrentSince Aug 10, 2025 Accepting new patients
Jon Sibert DC PA Sports Physician CurrentSince Dec 1, 2004 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.

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.

Verify at the official NPI Registry.