Individual provider Active NPI

Justine Louise Hartle, DC

  • Chiropractor
  • Owatonna, MN
National Provider Identifier
1790446797
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6930 Issued in MN
Practice address
215 18TH St SE
Owatonna, MN 55060-4003
Phone
(507) 451-7580
Fax
(507) 451-5387
NPI assigned
Jan 3, 2022
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6930 MN Primary

Addresses

Primary practice location

215 18TH St SE
Owatonna, MN 55060-4003

Mailing address

6668 SW 28TH St
Owatonna, MN 55060-4899
Phone (507) 676-5505

Other names 1

  • Justine Louise Roemhildt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120002560 MN Practitioner - Chiropractic 1153713375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Street Chiropractic LTDGroup PAC ID 3173702545, 3 clinicians

Practice addresses (Care Compare)

215 18TH St SE
Owatonna, MN 55060-4003
Phone (507) 451-7580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6930MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Street Chiropractic, LTD. Chiropractor CurrentSince Jan 3, 2022 Accepting new patients
Chiropractic Care of Owatonna PA Chiropractor PastSince Jul 1, 2013 Accepting new patients

Locations

215 18th St SE
Owatonna, MN 55060
Phone (507) 451-7580

317 N Cedar Ave
Owatonna, MN 55060
Phone (507) 214-2584

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1790446797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6668 SW 28TH ST",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604899",
            "telephone_number": "507-676-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 18TH ST SE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604003",
            "telephone_number": "507-451-7580",
            "fax_number": "507-451-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLE",
        "first_name": "JUSTINE",
        "middle_name": "LOUISE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "ROEMHILDT",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.