Active NPI
Elizabeth Ann Siegfried, D.C.
- Chiropractor
- De Witt, IA
National Provider Identifier
1982990586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 007432
- Practice address
- 1419 11TH St Ste a
De Witt, IA 52742-1294 - Phone
- (563) 659-9039
- Fax
- (563) 659-3183
- NPI assigned
- Jun 22, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 007432 | IA | Primary |
Addresses
Primary practice location
1419 11TH St Ste a
De Witt, IA 52742-1294
Mailing address
1419A 11TH Street
Dewitt, IA 52742
Phone (563) 659-9039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110824000329 | IA | Practitioner - Chiropractic | 2062682370 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1419 11TH St
Suite a
De Witt, IA 52742-1293
1419 11TH St a
De Witt, IA 52742-1293
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007432 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Chiropractic Wellness Center | Chiropractor | Past | 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.
-
- Chiropractor
- De Witt, IA
- NPI 1912047226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1982990586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419A 11TH STREET",
"city": "DEWITT",
"state": "IA",
"postal_code": "52742",
"telephone_number": "563-659-9039",
"fax_number": "563-659-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 11TH ST STE A",
"city": "DE WITT",
"state": "IA",
"postal_code": "527421294",
"telephone_number": "563-659-9039",
"fax_number": "563-659-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGFRIED",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "007432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in De Witt, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.