Individual provider Active NPI

Remington Siebert, D.C.

  • Chiropractor
  • Marshall, MO
National Provider Identifier
1972352961
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024016232 Issued in MO
Practice address
754 S Odell Ave
Marshall, MO 65340-2504
Phone
(660) 886-7134
Fax
(660) 886-7135
NPI assigned
May 14, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024016232 MO Primary

Addresses

Primary practice location

754 S Odell Ave
Marshall, MO 65340-2504

Mailing address

PO Box 792
Marshall, MO 65340-0792
Phone (660) 886-7135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003575 MO Practitioner - Chiropractic 0840732855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

754 S Odell Ave
Marshall, MO 65340-2504
Phone (660) 886-7134

762 S Odell Ave
Marshall, MO 65340-2504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Mo Chiropractic LLC Chiropractor CurrentSince Oct 2, 2024 Accepting new patients

Locations

754 S Odell Ave
Marshall, MO 65340
Phone (660) 886-7134

754 S Odell Ave
#100
Marshall, MO 65340

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1972352961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400792",
            "telephone_number": "660-886-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S ODELL AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402504",
            "telephone_number": "660-886-7134",
            "fax_number": "660-886-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBERT",
        "first_name": "REMINGTON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024016232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.