Organization Active NPI

Sprout Family Chiropractic LLC

  • Chiropractor
  • Appleton, WI
National Provider Identifier
1134698681
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPROUT FAMILY CHIROPRACTIC LLC
Doing business as
Sprout Family Chiropractic
Practice address
652 W Ridgeview Dr
Appleton, WI 54911-1254
Phone
(920) 710-1811
NPI assigned
Nov 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Kalista Sawyer, DC
Title
Owner/Chiropractor
Phone
(920) 202-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

652 W Ridgeview Dr
Appleton, WI 54911-1254

Mailing address

960 Stuart CT
Neenah, WI 54956-5155
Phone (920) 202-0025

Other names 1

  • Sprout Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

652 W Ridgeview Dr
Appleton, WI 54911
Phone (920) 710-1811

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1134698681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 STUART CT",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549565155",
            "telephone_number": "920-202-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 W RIDGEVIEW DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111254",
            "telephone_number": "920-710-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "KALISTA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "920-202-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sprout Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.