Organization Active NPI

Shalom Family Chiropractic, LLC

  • Health Service Clinic/Center
  • Sun Prairie, WI
National Provider Identifier
1104704691
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SHALOM FAMILY CHIROPRACTIC, LLC
Practice address
1266 W Main St Ste 2
Sun Prairie, WI 53590-1922
Phone
(608) 886-8568
NPI assigned
Aug 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Authorized official

Name
Dr. Shalom Samuel, DCNPI 1063841807
Title
Owner
Phone
(608) 886-8568

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1266 W Main St Ste 2
Sun Prairie, WI 53590-1922

Mailing address

1266 W Main St Ste 2
Sun Prairie, WI 53590-1922
Phone (608) 886-8568

National Provider Directory

National Provider Directory
Tax ID family
Shalom Family Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1266 W Main St
Ste 2
Sun Prairie, WI 53590
Phone (608) 886-8568

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755907200000",
    "number": "1104704691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 W MAIN ST STE 2",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901922",
            "telephone_number": "608-886-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 W MAIN ST STE 2",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901922",
            "telephone_number": "608-886-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-886-8568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.