Timothy James Munderloh, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

1058 Issued in AZ

Practice address

1500 E Cedar Ave
Ste 80
Flagstaff, AZ 86004

Phone

(928) 556-0707

Fax

(928) 522-8462

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Naz Mua LLCGroup PAC ID 3274068267, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.munderloh@direct.meditouchehr.com

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.

• Naz Mua LLC

  • General Practice Physician
  • Flagstaff, AZ
  • NPI 1457173312

  Neurology

  Medicare reassignment Care Compare group NPD
• Retail Automation USA LLC

  • Neurology Chiropractor
  • Flagstaff, AZ
  • NPI 1447397336
  NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104883164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE",
            "address_2": "STE 80",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-556-0707",
            "fax_number": "928-522-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE",
            "address_2": "STE 80",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "86004",
            "telephone_number": "928-556-0707",
            "fax_number": "928-522-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDERLOH",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5935",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "AZ",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0941160",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "624131",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taif Mukhdomi, M.D.
• Brian E Mulkerin, MD
• Linda Mullen, MD
• Faith Mullender
• Munderloh Medical LLC
• Ryanne Murakami-Samala
• Marilyn Murov
• Andrea Murphy, HIS
• Joanna Murphy, RN
• Susan Murrell, MED

• Neurology Chiropractor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Neurology Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.