Active NPI
Alexander Robert Sundin, D.C.
- Rehabilitation Chiropractor
- Eden Prairie, MN
National Provider Identifier
1467998955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 6541
- Practice address
- 800 Prairie Center Dr Ste 200
Eden Prairie, MN 55344-7306 - Phone
- (952) 943-1188
- Fax
- (952) 943-1177
- NPI assigned
- Jan 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60713471 | WA | |
| Rehabilitation Chiropractor | 111NR0400X | 6541 | MN | Primary |
Addresses
Primary practice location
800 Prairie Center Dr Ste 200
Eden Prairie, MN 55344-7306
Mailing address
800 Prairie Center Dr Ste 200
Eden Prairie, MN 55344-7306
Phone (952) 943-1188
Other practice location 1
612 SW 152nd St
Burien, WA 98166-2213
Phone (206) 244-1466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60713471 | WA | MD | Chiropractor |
| 6541 | MN | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrum Healthcare LLC | Past | Accepting new patients | |
| Moss Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Burien, WA
- NPI 1619268802
-
- Chiropractor
- Burien, WA
- NPI 1194913244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1467998955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PRAIRIE CENTER DR STE 200",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447306",
"telephone_number": "952-943-1188",
"fax_number": "952-943-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRAIRIE CENTER DR STE 200",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447306",
"telephone_number": "952-943-1188",
"fax_number": "952-943-1177"
}
],
"practiceLocations": [
{
"address_1": "612 SW 152nd St",
"address_purpose": "LOCATION",
"city": "Burien",
"state": "WA",
"postal_code": "981662213",
"country_code": "US",
"telephone_number": "206-244-1466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUNDIN",
"first_name": "ALEXANDER",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-09",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60713471",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "6541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.