Organization Active NPI

North Point Chiropractic LLC

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1114452091
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5272-12 Issued in WI
Legal business name
NORTH POINT CHIROPRACTIC LLC
Practice address
21150 Capitol Dr
Suite 5
Brookfield, WI 53072-2911
Phone
(414) 482-5282
NPI assigned
Apr 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Victoria Sandstrom Gonzalez, DC
Title
Chiropractor/Owner
Phone
(414) 482-5282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5272-12 WI Primary

Addresses

Primary practice location

21150 Capitol Dr
Suite 5
Brookfield, WI 53072-2911

Mailing address

21150 W Capitol Dr Ste 5
Brookfield, WI 53072-2913
Phone (414) 482-5282

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629001202 WI Part B Supplier - Clinic/Group Practice 6204105588 Receives reassigned benefits from 1 practitioner
Practice locations: Pewaukee, WI

National Provider Directory

National Provider Directory

Locations

21150 Capitol Dr
Ste 5
Brookfield, WI 53072
Phone (414) 482-5282

1230 George Towne Dr
Ste C
Pewaukee, WI 53072
Phone (414) 482-5282

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1114452091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21150 W CAPITOL DR STE 5",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722913",
            "telephone_number": "414-482-5282",
            "fax_number": "414-877-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 CAPITOL DR",
            "address_2": "SUITE 5",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530722911",
            "telephone_number": "414-482-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH POINT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "SANDSTROM",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "414-482-5282",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5272-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.