NPIMap

Organization Active NPI

Lundstrom Chiropractic Centers, Inc.

  • Clinic/Center
  • Faribault, MN
National Provider Identifier
1073879466
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5646 Issued in MN
Legal business name
LUNDSTROM CHIROPRACTIC CENTERS, INC.
Doing business as
Midtown Chiropractic
Practice address
111 Central Ave N
Suite 2
Faribault, MN 55021-5252
Phone
(507) 384-3588
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Dr. John Robert Lundstrom, D.C.
Title
President
Phone
(651) 235-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5646 MN Primary

Addresses

Primary practice location

111 Central Ave N
Suite 2
Faribault, MN 55021-5252

Mailing address

111 Central Ave N
Suite 2
Faribault, MN 55021-5252
Phone (507) 384-3588

Other names 1

  • Midtown Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lundstrom Chiropractic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

111 Central Ave N
Ste 2
Faribault, MN 55021
Phone (507) 384-3588

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1073879466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE N",
            "address_2": "SUITE 2",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215252",
            "telephone_number": "507-384-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE N",
            "address_2": "SUITE 2",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215252",
            "telephone_number": "507-384-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDSTROM CHIROPRACTIC CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "LUNDSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-235-1403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.