NPIMap

Organization Active NPI

Prairie Chiropractic, LLC

  • Chiropractor
  • Sun Prairie, WI
National Provider Identifier
1942748280
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3537-12 Issued in WI
Legal business name
PRAIRIE CHIROPRACTIC, LLC
Practice address
5 N Bird St
Sun Prairie, WI 53590-2878
Phone
(608) 318-5959
Fax
(608) 318-5958
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Dr. Jennifer Kolander, DC
Title
Owner
Phone
(608) 318-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3537-12 WI Primary

Addresses

Primary practice location

5 N Bird St
Sun Prairie, WI 53590-2878

Mailing address

5 N Bird St
Sun Prairie, WI 53590-2878
Phone (608) 318-5959

National Provider Directory

National Provider Directory

Locations

5 N Bird St
Sun Prairie, WI 53590
Phone (608) 318-5959

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1942748280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N BIRD ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902878",
            "telephone_number": "608-318-5959",
            "fax_number": "608-318-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N BIRD ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902878",
            "telephone_number": "608-318-5959",
            "fax_number": "608-318-5958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "KOLANDER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-318-5959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3537-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.