Organization Active NPI

North Star Chiropractic LLC

  • Chiropractor
  • Watertown, WI
National Provider Identifier
1760950414
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTH STAR CHIROPRACTIC LLC
Practice address
N901 County Road L
Watertown, WI 53098-4316
Phone
(920) 253-5885
NPI assigned
Nov 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Noelle Kayla Margelowsky, DCNPI 1164964318
Title
Business Partner/Chiropractor
Phone
(920) 253-5885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

N901 County Road L
Watertown, WI 53098-4316

Mailing address

N901 County Road L
Watertown, WI 53098-4316
Phone (920) 253-5885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225003038 WI Part B Supplier - Clinic/Group Practice 8527307289 Receives reassigned benefits from 1 practitioner
Practice locations: Watertown, WI

National Provider Directory

National Provider Directory

Locations

21 S Jackson St
Ste 160
Janesville, WI 53548
Phone (608) 362-2222

N901 County Road L
Watertown, WI 53098
Phone (920) 253-5885

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": "1541808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1760950414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N901 COUNTY ROAD L",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530984316",
            "telephone_number": "920-253-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N901 COUNTY ROAD L",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530984316",
            "telephone_number": "920-253-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-10",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "MARGELOWSKY",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "KAYLA",
        "authorized_official_title_or_position": "BUSINESS PARTNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "920-253-5885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.