Active NPI
Ahmad R. Sprouse
- Chiropractor
- Chesterton, IN
National Provider Identifier
1679971501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 080002742A
- Legal business name
- AHMAD R. SPROUSE
- Practice address
- 1496 Pope CT Ste 3
Chesterton, IN 46304-5303 - Phone
- (219) 926-8522
- Fax
- (211) 926-7513
- NPI assigned
- Dec 9, 2014
- 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. Ahmad Ra'Shad Sprouse, D.C.
- Title
- Independent Contractor
- Phone
- (219) 576-2313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 080002742A | IN | Primary |
Addresses
Primary practice location
1496 Pope CT Ste 3
Chesterton, IN 46304-5303
Mailing address
1496 Pope CT
Chesterton, IN 46304-5302
Phone (219) 926-8522
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chesterton, IN
- NPI 1851725717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1679971501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1496 POPE CT",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463045302",
"telephone_number": "219-926-8522",
"fax_number": "219-926-7513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1496 POPE CT STE 3",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463045303",
"telephone_number": "219-926-8522",
"fax_number": "211-926-7513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMAD R. SPROUSE",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-09",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "SPROUSE",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "RA'SHAD",
"authorized_official_title_or_position": "INDEPENDENT CONTRACTOR",
"authorized_official_telephone_number": "219-576-2313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IN",
"license": "080002742A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.