Organization Active NPI

Champion Family Chiropractic, LLC

Doing business as Champion Chiropractic & Spinal Injury

  • Chiropractor
  • Clive, IA
National Provider Identifier
1053872382
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHAMPION FAMILY CHIROPRACTIC, LLC
Doing business as
Champion Chiropractic & Spinal Injury
Practice address
11050 Hickman Rd Ste a
Clive, IA 50325-3740
Phone
(515) 777-1014
Fax
(515) 777-1015
NPI assigned
Mar 28, 2019
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Justin C Luneburg, DC, FPSC(C)NPI 1104012467
Title
President
Phone
(515) 777-1014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

11050 Hickman Rd Ste a
Clive, IA 50325-3740

Mailing address

11050 Hickman Rd Ste a
Clive, IA 50325-3740
Phone (515) 777-1014

Other identifiers 1

IdentifierTypeStateIssuer
0408991MedicaidIA

Other names 2

  • Champion Chiropractic & Spinal Injury Doing business as
  • CHAMPION FAMILY CHIROPRACTIC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190712000279 IA Part B Supplier - Clinic/Group Practice 2668707605 Receives reassigned benefits from 2 practitioners
Practice locations: Clive, IA

National Provider Directory

National Provider Directory

Locations

11050 Hickman Rd
Ste A
Clive, IA 50325
Phone (515) 777-1014

11050 Hickman Rd
Des Moines, IA 50325
Phone (515) 777-1014

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1053872382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 HICKMAN RD STE A",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253740",
            "telephone_number": "515-777-1014",
            "fax_number": "515-777-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 HICKMAN RD STE A",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253740",
            "telephone_number": "515-777-1014",
            "fax_number": "515-777-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "LUNEBURG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-777-1014",
        "authorized_official_credential": "DC, FPSC(C)"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408991",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Chiropractic & Spinal Injury",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHAMPION FAMILY CHIROPRACTIC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.