Lundgren Chiropractic Clinic

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

708 Issued in MT

Legal business name

LUNDGREN CHIROPRACTIC CLINIC

Practice address

662 S Ferguson Ave Ste 1
Bozeman, MT 59718-6492

Phone

(406) 586-1984

Fax

(406) 551-2049

NPI assigned

Aug 13, 2010

Organization subpart

No

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

Authorized official

Name

Randall Lundgren, D.C.NPI 1861572224

Title

President

Phone

(406) 586-1984

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

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

• Randall Lundgren, D.C.

  • Orthopedic Chiropractor
  • Bozeman, MT
  • NPI 1861572224
  Medicare reassignment NPD Authorized official
• Jillian Kay Gellings, D.C.

  • Chiropractor
  • Bozeman, MT
  • NPI 1427479880
  NPD

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1336454305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186492",
            "telephone_number": "406-586-1984",
            "fax_number": "406-551-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186492",
            "telephone_number": "406-586-1984",
            "fax_number": "406-551-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDGREN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-586-1984",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "MT",
            "license": "708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M011000442",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bozeman",
            "affiliation": "N",
            "address_1": "662 S Ferguson Ave Ste 1",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597186492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lacey Jordan Huntington Lubenow, MOTR/L
• Sara Lukkason
• Christopher Lumsden, PA-C
• Marci Kim Lund, AU.D., F-AAA, CCC-
• Jason Brooks Lunden, DPT
• Randall Lundgren, D.C.
• Tracy Lynn Lundgren, PTA
• Alyssa K Lundquist
• Lupine Pediatric Therapy LLC
• Gary Franklin Lusin, PT MS ATC CSCS

• Orthopedic Chiropractor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Orthopedic Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.