Active NPI
Sprout Family Chiropractic LLC
- Chiropractor
- Appleton, WI
National Provider Identifier
1134698681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.