Individual provider Active NPI

Sara M Kirkman, DC

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1073505871
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3991 Issued in WI
Practice address
1633 W Main St
Sun Prairie, WI 53590-1839
Phone
(608) 837-7712
Fax
(608) 825-6638
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3991 WI Primary

Addresses

Primary practice location

1633 W Main St
Sun Prairie, WI 53590-1839

Mailing address

105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929

Other identifiers 1

IdentifierTypeStateIssuer
38956500MedicaidWI

Other names 1

  • Sara M Knobloch Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000123 WI Practitioner - Chiropractic 6002890696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luedtke-Storm-Mackey Chiropractic Clinic, SCGroup PAC ID 6204737240, 33 clinicians

Practice addresses (Care Compare)

1633 W Main St
Sun Prairie, WI 53590-1839
Phone (608) 837-7712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3991WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Foot and Wound Care Center LLC PastSince Oct 15, 2012 Accepting new patients
Bauer Chiropractic, LLC Chiropractor PastSince Jan 1, 2004 Accepting new patients

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1073505871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLARMAR DR",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902675",
            "telephone_number": "608-318-5929",
            "fax_number": "608-318-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901839",
            "telephone_number": "608-837-7712",
            "fax_number": "608-825-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKMAN",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38956500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "KNOBLOCH",
            "middle_name": "M",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.