Debra Marie Sundahl, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

23030 Issued in CA

Practice address

1960 E Dupont Rd
Fort Wayne, IN 46825-1582

Phone

(260) 489-2266

Fax

(260) 490-6565

NPI assigned

Oct 2, 2006

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Resource Center

  • Chiropractor
  • New Haven, IN
  • NPI 1124120373
  NPD (past)
• Dupont Chiropractic Resource Center Inc.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1184929010
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1396838397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251582",
            "telephone_number": "260-489-2266",
            "fax_number": "260-490-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251582",
            "telephone_number": "260-489-2266",
            "fax_number": "260-490-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAHL",
        "first_name": "DEBRA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Retina Consultants, P.C.
• Summit Speech & Language Care Inc
• Summit Spine & Sports Medicine, PC
• Summit Surgical Suites, LLC (Southwest Surgical Suites)
• Ruidong Sun, MD
• Michael Sundahl
• Abbigail Sunday
• Glenis A Sundberg, MS. ED; LMFT
• Will Sunderland
• Curtis A Sunderlin

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.