Individual provider Active NPI

Stephan O Von Seeger, CHIROPRACTIC

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1891886388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11679 Issued in CA
Practice address
9295 E Stockton Blvd Ste 10
Elk Grove, CA 95624-4096
Phone
(916) 685-6380
Fax
(916) 685-4744
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 DC11679 CA Primary

Addresses

Primary practice location

9295 E Stockton Blvd Ste 10
Elk Grove, CA 95624-4096

Mailing address

9295 E Stockton Blvd Ste 10
Elk Grove, CA 95624-4096
Phone (916) 685-6380

Other identifiers 1

IdentifierTypeStateIssuer
DC11679OtherCALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110111000586 CA Practitioner - Chiropractic 0042409708 Practice locations: Elk Grove, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9295 E Stockton Blvd
Elk Grove, CA 95624-4096
Phone (916) 685-6380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Taryn Davis Chiropractic Corporation Chiropractor PastSince Apr 21, 2024 Accepting new patients
Sundstrom Chiropractic Clinic Inc Chiropractor PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891886388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 E STOCKTON BLVD STE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244096",
            "telephone_number": "916-685-6380",
            "fax_number": "916-685-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 E STOCKTON BLVD STE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244096",
            "telephone_number": "916-685-6380",
            "fax_number": "916-685-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON SEEGER",
        "first_name": "STEPHAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC11679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.