Organization Active NPI

Lundby Upper Cervical Chiropractic, P.C.

Doing business as Upper Cervical Health Centers of America

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1427394527
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
914 Issued in ND
Legal business name
LUNDBY UPPER CERVICAL CHIROPRACTIC, P.C.
Doing business as
Upper Cervical Health Centers of America
Practice address
1830 E Century Ave Ste 8
Bismarck, ND 58503-0639
Phone
(701) 751-4848
Fax
(701) 751-5041
NPI assigned
Dec 17, 2012
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Elizabeth Lundby, D.C.NPI 1265735526
Title
Owner
Phone
(701) 595-4869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 914 ND Primary

Addresses

Primary practice location

1830 E Century Ave Ste 8
Bismarck, ND 58503-0639

Mailing address

1830 E Century Ave
Suite 7
Bismarck, ND 58503-0639
Phone (701) 751-4848

Other identifiers 1

IdentifierTypeStateIssuer
914OtherNDSTATE LICENSE NUMBER

Other names 2

  • Upper Cervical Health Centers of America Doing business as
  • Lundby Upper Cervical Chiropractice PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000477 ND Part B Supplier - Clinic/Group Practice 4082869995 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

1830 E Century Ave
Ste 8
Bismarck, ND 58503
Phone (701) 751-4848

1830 E Century Ave
Unit 7
Bismarck, ND 58503
Phone (701) 751-4848

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1427394527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E CENTURY AVE",
            "address_2": "SUITE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-751-4848",
            "fax_number": "701-751-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E CENTURY AVE STE 8",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-751-4848",
            "fax_number": "701-751-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDBY UPPER CERVICAL CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "LUNDBY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-595-4869",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "914",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Cervical Health Centers of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upper Cervical Health Centers of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lundby Upper Cervical Chiropractice PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.