Mitchell Dale Sutton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5288-12 Issued in WI

Practice address

2525 W Mason St
Green Bay, WI 54303-4838

Phone

(920) 429-2844

NPI assigned

May 26, 2017

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Wellness Way Green Bay LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1003837170
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1760910343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034838",
            "telephone_number": "920-429-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034838",
            "telephone_number": "920-429-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MITCHELL",
        "middle_name": "DALE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5288-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Specialist of Green Bay Inc.
• Sursum Corda, SC
• Susan Norton (Susan Norton, MS LPC)
• Lauralyn Beth Sutrick, PTA
• Lara Sutton, OTR
• Jonathan Swanson, D.C.
• Christina Swartout
• Sarah J Swarts, MD
• Jean Anne Sweetland, MSW
• Jack A Swelstad, MD

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.