Samuel J. Gunderman Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104000549 Issued in VA

Practice address

5701 George Washington Mem Hwy
Yorktown, VA 23692-2773

Phone

(757) 874-5666

Fax

(757) 874-8625

NPI assigned

Aug 19, 2006

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

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gunderman Chiropractic and Wellness LLCGroup PAC ID 5890940985, 3 clinicians

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.

• Gunderman Chiropractic & Wellness LLC

  • Chiropractor
  • Yorktown, VA
  • NPI 1033223433
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1205940673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 982",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236920982",
            "telephone_number": "757-874-5666",
            "fax_number": "757-874-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922773",
            "telephone_number": "757-874-5666",
            "fax_number": "757-874-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERMAN",
        "first_name": "SAMUEL",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104000549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Marie Grimmett, PA-C
• Yu Guan, M.D.
• Barbara Jordan Guemple, RPH
• Gunderman Chiropractic & Wellness LLC
• Samuel J Gunderman III, D.C.
• Dianne Marie Guse, RPH
• Rachel Marie Hagelberg, MA, CCC-SLP
• Alyssa Hamill
• Hamouri Cosmetic and Family Denistry, PLLC
• Hampton Physical Therapy Group LLC

• Chiropractor in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.