Active NPI
Sara K Stefan, DC
- Chiropractor
- Stevens Point, WI
National Provider Identifier
1629167820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4207-012
- Practice address
- 5474 Highway 10 E
Unit 6
Stevens Point, WI 54482 - Phone
- (715) 544-6508
- Fax
- (715) 544-6510
- NPI assigned
- Oct 12, 2006
- 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 | 038-010639 | IL | |
| Chiropractor | 111N00000X | 4207-012 | WI | Primary |
Addresses
Primary practice location
5474 Highway 10 E
Unit 6
Stevens Point, WI 54482
Mailing address
5474 Highway 10 E
Unit 6
Stevens Point, WI 54482
Phone (715) 544-6508
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K34049 | Other | IL | MEDICARE # |
| 1636757 | Other | IL | BLUE CROSS ID # |
Other names 1
- Sara Ann Kinninger
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010639 | IL | MD | Chiropractor |
| 4207-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Schaumburg West Clinic, LLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Schaumburg, IL
- NPI 1457400277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1629167820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5474 HIGHWAY 10 E",
"address_2": "UNIT 6",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "54482",
"telephone_number": "715-544-6508",
"fax_number": "715-544-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5474 HIGHWAY 10 E",
"address_2": "UNIT 6",
"city": "STEVENS POINT",
"state": "WI",
"postal_code": "54482",
"telephone_number": "715-544-6508",
"fax_number": "715-544-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFAN",
"first_name": "SARA",
"middle_name": "K",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-02-14",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-010639",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4207-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "K34049",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID #",
"identifier": "1636757",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "KINNINGER",
"middle_name": "ANN",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stevens Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.