Active NPI
Keith Lundberg, D.C.
- Nutrition Chiropractor
- Montrose, CO
National Provider Identifier
1427112002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1960
- Practice address
- 140 S 5TH St
Montrose, CO 81401-3663 - Phone
- (970) 249-9626
- Fax
- (970) 249-0964
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1960 | CO | Primary |
Addresses
Primary practice location
140 S 5TH St
Montrose, CO 81401-3663
Mailing address
140 S 5TH St
Montrose, CO 81401-3663
Phone (970) 249-9626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060328000174 | CO | Practitioner - Chiropractic | 1850309204 | Practice locations: Montrose, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 S 5TH St
Montrose, CO 81401-3663
Phone (970) 249-9626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427112002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 S 5TH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013663",
"telephone_number": "970-249-9626",
"fax_number": "970-249-0964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 S 5TH ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013663",
"telephone_number": "970-249-9626",
"fax_number": "970-249-0964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDBERG",
"first_name": "KEITH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CO",
"license": "1960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.