Organization Active NPI

Ahmad R. Sprouse

  • Chiropractor
  • Chesterton, IN
National Provider Identifier
1679971501
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
080002742A Issued in IN
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

Updated by the provider on Dec 9, 2014

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.