Mill Valley Family Chiropractic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

22400 Issued in CA

Legal business name

MILL VALLEY FAMILY CHIROPRACTIC

Practice address

591 Redwood Hwy Ste 2300
Mill Valley, CA 94941-6032

Phone

(415) 389-9000

Fax

(415) 389-7912

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jesper Lundbaek, D.C.NPI 1790881670

Title

Sole Proprietor

Phone

(415) 389-9000

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesper Lundbaek, DC

  • Chiropractor
  • Mill Valley, CA
  • NPI 1790881670
  NPD (past) Authorized official
• Lynda Suzanne Bunn, D.C.

  • Chiropractor
  • Mill Valley, CA
  • NPI 1528405339
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1043433063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY STE 2300",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416032",
            "telephone_number": "415-389-9000",
            "fax_number": "415-389-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY STE 2300",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416032",
            "telephone_number": "415-389-9000",
            "fax_number": "415-389-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL VALLEY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "LUNDBAEK",
        "authorized_official_first_name": "JESPER",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "415-389-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "22400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Metzgar, LMFT
• Madeleine C. Meyer, M.D.
• Samuel Benjamin Meyers, DPM
• Cynthia Brooks Michalis, M.F.T.
• Mill Valley Dermatology, Inc
• Mill Valley Family Practice
• Mill Valley Pediatric Associates
• Mill Valley Physical Therapy Partnership
• Mill Valley School District
• Zeljko Milovanovic, M.D.

• Health Service Clinic/Center in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.