NPIMap

Organization Active NPI

Nick Lundbohm LLC

  • Chiropractor
  • Menomonee Falls, WI
National Provider Identifier
1093458192
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NICK LUNDBOHM LLC
Practice address
N56W15560 Silver Spring Dr.
Suite E East
Menomonee Falls, WI 53051-6148
Phone
(877) 442-4476
NPI assigned
Apr 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

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

Authorized official

Name
Dr. Nicholas Jay Lundbohm, DCNPI 1225176084
Title
President
Phone
(877) 442-4476

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

N56W15560 Silver Spring Dr.
Suite E East
Menomonee Falls, WI 53051-6148

Mailing address

N174W20044 Creekside Dr
Jackson, WI 53037-9108

National Provider Directory

National Provider Directory

Locations

N56W15560 Silver Spring Dr
Ste E-E
Menomonee Falls, WI 53051
Phone 8774424476116

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650067200000",
    "number": "1093458192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N174W20044 CREEKSIDE DR",
            "city": "JACKSON",
            "state": "WI",
            "postal_code": "530379108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N56W15560 SILVER SPRING DR.",
            "address_2": "SUITE E EAST",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530516148",
            "telephone_number": "877-442-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK LUNDBOHM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-16",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "status": "A",
        "authorized_official_last_name": "LUNDBOHM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-442-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2022; 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.