Erick James Lundgren, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4639 Issued in MN

Practice address

4600 Lake Road Ave Ste 301
Robbinsdale, MN 55422

Phone

(763) 588-7099

Fax

(763) 522-2222

NPI assigned

Nov 13, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifeline Chiropractic , P.a.

  • Chiropractor
  • Woodbury, MN
  • NPI 1578621710
  NPD (past)
• Medical Consultants Clinic PA

  • Clinic/Center
  • Robbinsdale, MN
  • NPI 1447711015
  NPD (past)
• Petterson Chiropractic Clinic PA

  • Chiropractor
  • Hastings, MN
  • NPI 1750451639
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1003987876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAKE ROAD AVE STE 301",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554221845",
            "telephone_number": "763-588-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LAKE ROAD AVE STE 301",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-588-7099",
            "fax_number": "763-522-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "ERICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SJIELD",
            "identifier": "C07J2LI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Dean Long, MD
• Amy E Look, PH.D.
• Yia Lor
• Christina Marie Luke, PHARMD
• Abigail Lundahl
• Susan Jean Lyon, MD
• Chad Macheel, NP
• Nirupama Madia
• Alok Maheshwari, MD
• Saad Malik, MD

• Chiropractor in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.