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SPORTS & FAMILY CHIROPRACTIC LLC
NPI 1578889242
Chiropractor in Kenosha, WI

Active since April 20, 2010
6123 GREEN BAY ROAD, STE 140, KENOSHA, WI 53142(262) 653-9208 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sports & Family Chiropractic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS & FAMILY CHIROPRACTIC LLC (NPI 1578889242) is a healthcare organization registered as a chiropractor in Kenosha, Wisconsin and active in the NPI registry since April 2010. The organization lists Hae Yong Chung, President, as its authorized official.

NPPES Registry Identity

NPI1578889242
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPORTS & FAMILY CHIROPRACTIC LLC
Location Address6123 GREEN BAY ROAD, STE 140Kenosha, WI 53142
Mailing Address6123 Green Bay Road, Ste 140Kenosha, WI 53142 · (262) 653-9208
Phone(262) 653-9208
Organization SubpartNo
Authorized OfficialHae Yong ChungPresident · (262) 653-9208
Enumeration DateApril 20, 2010
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1578889242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 4598-012✔ Licensed in WI · 4600-012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
6123 GREEN BAY ROAD, Kenosha, WI 53142
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports & Family Chiropractic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sports & Family Chiropractic LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chad Sloden, D.C
Chiropractic
NPI 1720303332
6123 GREEN BAY RD
Kenosha, WI 53142
(262) 653-9208
✔ Accepts MedicareSame address
Nicholas Hollendonner, DC
Chiropractic
NPI 1962910968
6123 GREEN BAY RD STE 140
Kenosha, WI 53142
(262) 653-9208
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports & Family Chiropractic LLC's NPI number?

The NPI number for Sports & Family Chiropractic LLC is 1578889242. It was assigned to this organization in the NPPES registry on April 20, 2010.

Where is Sports & Family Chiropractic LLC located?

Sports & Family Chiropractic LLC is located at 6123 Green Bay Road Ste 140, Kenosha, WI 53142. The listed phone number is (262) 653-9208.

What is Sports & Family Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Sports & Family Chiropractic LLC enrolled in Medicare?

Yes. Sports & Family Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports & Family Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Sports & Family Chiropractic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sports & Family Chiropractic LLC was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.