Active NPI
Margaret Pedersen, DAOMC, MSOM, L.AC.
- Acupuncturist
- Shorewood, WI
National Provider Identifier
1811208275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 643-055
- Practice address
- 3970 N Oakland Ave
Suite 502
Shorewood, WI 53211-2265 - Phone
- (414) 331-2758
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 643-055 | WI | Primary |
Addresses
Primary practice location
3970 N Oakland Ave
Suite 502
Shorewood, WI 53211-2265
Mailing address
W125S6955 Skylark LN
Muskego, WI 53150-3526
Phone (414) 377-8005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643-055 | WI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1811208275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W125S6955 SKYLARK LN",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531503526",
"telephone_number": "414-377-8005",
"fax_number": "414-377-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 N OAKLAND AVE",
"address_2": "SUITE 502",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "532112265",
"telephone_number": "414-331-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDERSEN",
"first_name": "MARGARET",
"credential": "DAOMC, MSOM, L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-30",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WI",
"license": "643-055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorewood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.