Individual provider Active NPI

Jordan Darrough-Spranger, DC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1710716675
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6188-12 Issued in WI
Practice address
21075 Swenson Dr Ste 700
Waukesha, WI 53186-2063
Phone
(262) 754-6850
NPI assigned
Jul 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 6188-12 WI Primary

Addresses

Primary practice location

21075 Swenson Dr Ste 700
Waukesha, WI 53186-2063

Mailing address

2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (262) 754-6850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000786 WI Practitioner - Chiropractic 5395283063 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davidson Family Chiropractic LLC Chiropractor CurrentSince Jul 30, 2024 Accepting new patients
Chiro One Wellness Center of Waukesha, LLC Chiropractor CurrentSince Jul 30, 2024 Accepting new patients
Chiro One Wellness Center of Germantown LLC Chiropractor CurrentSince Jul 18, 2025 Accepting new patients

Locations

2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922

N96W19150 County Line Rd
Germantown, WI 53022
Phone (262) 293-4002

21075 Swenson Dr
Ste 700
Waukesha, WI 53186
Phone (262) 754-6850

Organizations & group practices 3

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1710716675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "262-754-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21075 SWENSON DR STE 700",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862063",
            "telephone_number": "262-754-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARROUGH-SPRANGER",
        "first_name": "JORDAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6188-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.