Myron Gudmundson, D.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH 60342432 Issued in WA

Practice address

17630 140TH Ave NE
Ste a
Woodinville, WA 98072-6876

Phone

(425) 398-3900

Fax

(425) 398-3907

NPI assigned

May 13, 2013

Last updated

Mar 3, 2014By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodinville Chiropractic, PS

  • Clinic/Center
  • Woodinville, WA
  • NPI 1184049991
  Authorized official Same address or phone
• Washington Wellness Group PLLC

  • Chiropractor
  • Woodinville, WA
  • NPI 1659102440
  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1083050496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17630 140TH AVE NE",
            "address_2": "STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726876",
            "telephone_number": "425-398-3900",
            "fax_number": "425-398-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17630 140TH AVE NE",
            "address_2": "STE A",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726876",
            "telephone_number": "425-398-3900",
            "fax_number": "425-398-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDMUNDSON",
        "first_name": "MYRON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "WA",
            "license": "CH 60342432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Leo Gregory, MS PT
• Griffin Sonstegard PLLC (Viridian Oral and Maxillofacial Surgery)
• Alexa Groby
• Susan Anne Groller, RN, LAC
• Mary Theresa Guay, LMFT
• Deepali Gupta
• Haggen, Inc (Haggen Food & Pharmacy, TOP Food & Drug)
• Andrew John Hale, LMHCA
• Samantha Gridley Haley, MD
• Jeanne Hall-Steedman

• Neurology Chiropractor in Woodinville, WA
• Providers in Woodinville, WA by specialty
• Neurology Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.