Adam Paul Sundberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4754 Issued in MN

Practice address

4135 Richard Ave Ste 102
Hermantown, MN 55811-2979

Phone

(218) 340-6110

NPI assigned

Oct 16, 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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adam.sundberg.1@29676.direct.athenahealth.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.

• Excel North Chiropractic P.a.

  • Chiropractor
  • Hermantown, MN
  • NPI 1063394609
  Medicare reassignment NPD Authorized official
• Eastview Family Chiropractic Clinic

  • Chiropractor
  • Woodbury, MN
  • NPI 1194084376
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1245310085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 RICHARD AVE STE 102",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112979",
            "telephone_number": "218-340-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 RICHARD AVE STE 102",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112979",
            "telephone_number": "218-340-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5807 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558072459",
            "country_code": "US",
            "telephone_number": "218-624-2452",
            "fax_number": "218-624-6048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "ADAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77G40SU",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621906300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC CARE OF MN",
            "identifier": "693252",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-02858",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayloni Mary Stanley, RBT
• Kyra Lee Stark
• Kallan Stedje
• Kayla Stephenson
• Kristi Marie Stroh, DPT
• Alannah Jane Sundgaard
• Michael Thomas Swanoski, PHARM.D.
• Erik Michael Swanson, PHARMD
• Victoria Lee Swanson, LICSW
• Christine Louise Swensen

• Chiropractor in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.