Apple River Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

APPLE RIVER CHIROPRACTIC LLC

Practice address

242 Main St Unit 1
Somerset, WI 54025-2300

Phone

(651) 230-4626

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Sawyer Alex Hildebrant, DCNPI 1609220169

Title

Owner, Chiropractor

Phone

(651) 230-4626

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

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

• Sawyer A Hildebrant, DC

  • Chiropractor
  • North St Paul, MN
  • NPI 1609220169

  WI

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1871290486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MAIN ST UNIT 1",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540252300",
            "telephone_number": "651-230-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MAIN ST UNIT 1",
            "city": "SOMERSET",
            "state": "WI",
            "postal_code": "540252300",
            "telephone_number": "651-230-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE RIVER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANT",
        "authorized_official_first_name": "SAWYER",
        "authorized_official_middle_name": "ALEX",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "651-230-4626",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "6057-12",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "6356",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Alexander Albares, MD
• Sylvia Lavonne Albers, LPC
• Jacob Ball, MD
• Because There'S No Place Like Home, LLC
• Sophie Bengson, DDS
• Melinda Beth Berg
• Bobrowski Industries Co

• Chiropractor in Somerset, WI
• Providers in Somerset, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.