Chadwick M Sundstrom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25107 Issued in CA

Practice address

9295 E Stockton Blvd
Ste 10
Elk Grove, CA 95624

Phone

(916) 685-6380

Fax

(916) 685-4744

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Sundstrom Chiropractic Clinic Inc

  • Chiropractor
  • Elk Grove, CA
  • NPI 1841009065
  Medicare reassignment NPD
• Taryn Davis Chiropractic Corporation

  • Chiropractor
  • Elk Grove, CA
  • NPI 1952155061
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1073524914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 E STOCKTON BLVD",
            "address_2": "STE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-685-6380",
            "fax_number": "916-685-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 E STOCKTON BLVD",
            "address_2": "STE 10",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "916-685-6380",
            "fax_number": "916-685-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDSTROM",
        "first_name": "CHADWICK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumerlin Guest Home 2
• Sumerlin Guest Home LLC
• Summit Care Home
• Chrystal Alyssa Sunakhenh
• Sundstrom Chiropractic Clinic Inc
• Sunquest Resources Inc.
• Sunrise Guest Home 1 & 2
• Sunrise Guest Home, Inc.
• Sunrise Guest Home, Inc.
• Mary Jean Sunzeri, RCP

• Chiropractor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.