Active NPI
Victoria Sandstrom, DC
- Chiropractor
- Brookfield, WI
National Provider Identifier
1114453701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5272-12
- Practice address
- 21150 W Capitol Dr
Suite 5
Brookfield, WI 53072-2911 - Phone
- (414) 482-5282
- NPI assigned
- May 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5272-12 | WI | Primary |
| Pediatric Chiropractor | 111NP0017X | 5272-12 | WI |
Addresses
Primary practice location
21150 W Capitol Dr
Suite 5
Brookfield, WI 53072-2911
Mailing address
21150 W Capitol Dr
Suite 5
Brookfield, WI 53072-2911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1114453701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21150 W CAPITOL DR",
"address_2": "SUITE 5",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530722911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 W CAPITOL DR",
"address_2": "SUITE 5",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530722911",
"telephone_number": "414-482-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDSTROM",
"first_name": "VICTORIA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5272-12",
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "WI",
"license": "5272-12",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.