Individual provider Active NPI

Sophia Emily Groff, DC

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1275267296
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6006-12 Issued in WI
Practice address
1777 W Main St Ste 107
Sun Prairie, WI 53590-3100
Phone
(608) 318-2410
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6006-12 WI Primary

Addresses

Primary practice location

1777 W Main St Ste 107
Sun Prairie, WI 53590-3100

Mailing address

1777 W Main St Ste 107
Sun Prairie, WI 53590-3100
Phone (608) 318-2410

Other names 1

  • Dr. Sophia Emily Cadwallader Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL GenesisSoftware

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809003962 WI Practitioner - Chiropractic 8325421217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Health Chiropractic LLCGroup PAC ID 4284701335, 5 clinicians

Practice addresses (Care Compare)

1777 W Main St
Suite 107
Sun Prairie, WI 53590-3100
Phone (608) 318-2410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Health Chiropractic LLC Chiropractor CurrentSince Jul 14, 2022 Accepting new patients

Locations

1777 W Main St
Ste 107
Sun Prairie, WI 53590
Phone (608) 318-2410

Organizations & group practices 1

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1275267296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 107",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-318-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W MAIN ST STE 107",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535903100",
            "telephone_number": "608-318-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFF",
        "first_name": "SOPHIA",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6006-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "GenesisSoftware",
            "affiliation": "N",
            "address_1": "1777 W Main St Ste 107",
            "city": "Sun Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535903100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "CADWALLADER",
            "middle_name": "EMILY",
            "prefix": "DR.",
            "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 Dec 18, 2024; 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.