Jack Lundbohm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3427 Issued in MT

Practice address

39 6TH St W Unit B
Columbia Falls, MT 59912-3602

Phone

(406) 897-5505

Fax

(406) 862-9750

NPI assigned

Nov 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• True Potential Chiropractic

  • Chiropractor
  • Columbia Falls, MT
  • NPI 1801558663
  NPD

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1003212465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 6TH ST W UNIT B",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123602",
            "telephone_number": "406-897-5505",
            "fax_number": "406-862-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 6TH ST W UNIT B",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123602",
            "telephone_number": "406-897-5505",
            "fax_number": "406-862-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBOHM",
        "first_name": "JACK",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Porter Lasalle, PT
• Deann Marie Latcham, P.T.
• Michele Theresa Lefever Boggs, PHARMD
• Logan Health - Whitefish
• Logan Health - Whitefish
• Nita Marie Marceau, PHARM.D.
• Sharon Jean Marino-Chubb, LCPC
• Daniel Masar, FNP-C
• Jessica Nicole Massicci
• Christi Masters, L.AC.

• Chiropractor in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.