Active NPI
Jason M Ballweg, DC
- Chiropractor
- Sun Prairie, WI
National Provider Identifier
1629493580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5005
- Practice address
- 1633 W Main St
Sun Prairie, WI 53590-1839 - Phone
- (608) 837-7712
- Fax
- (608) 825-6638
- NPI assigned
- Feb 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5005 | WI | Primary |
Addresses
Primary practice location
1633 W Main St
Sun Prairie, WI 53590-1839
Mailing address
105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 318-5929
Other practice location 1
105 Clarmar Dr
Sun Prairie, WI 53590-2675
Phone (608) 837-7712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1633 W Main St
Sun Prairie, WI 53590-1839
Phone (608) 837-7712
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005 | WI | MD | Chiropractor |
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
- Sun Prairie, WI
- NPI 1457343246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1629493580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 CLARMAR DR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535902675",
"telephone_number": "608-318-5929",
"fax_number": "608-318-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 W MAIN ST",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901839",
"telephone_number": "608-837-7712",
"fax_number": "608-825-6638"
}
],
"practiceLocations": [
{
"address_1": "105 Clarmar Dr",
"address_purpose": "LOCATION",
"city": "Sun Prairie",
"state": "WI",
"postal_code": "535902675",
"country_code": "US",
"telephone_number": "608-837-7712",
"fax_number": "608-825-6638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALLWEG",
"first_name": "JASON",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-28",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "5005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 2, 2026; 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.