Individual provider Active NPI

Austin Greg Lundgren, DC

  • Chiropractor
  • Rio Rancho, NM
National Provider Identifier
1508460627
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2255 Issued in NM
Practice address
3301 Southern Blvd SE Ste 304
Rio Rancho, NM 87124-2087
Phone
(505) 892-2222
Fax
(505) 892-1056
NPI assigned
Nov 30, 2020
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2255 NM Primary

Addresses

Primary practice location

3301 Southern Blvd SE Ste 304
Rio Rancho, NM 87124-2087

Mailing address

5821 Plaza Paseo St NW
Albuquerque, NM 87114-4808
Phone (505) 917-3677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201230002083 NM Practitioner - Chiropractic 6800206491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Lundgren Chiropractic Center LLCGroup PAC ID 0446660039, 2 clinicians

Practice addresses (Care Compare)

3301 Southern Blvd SE
Suite 304
Rio Rancho, NM 87124-2087
Phone (505) 892-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lundgren Chiropractic Center LLC Chiropractor CurrentSince May 5, 2020 Accepting new patients
Garner Chiropractic, P.C. Chiropractor PastSince Dec 1, 2020 Accepting new patients
Straight Chiropractic Chiropractor PastSince Dec 2, 2020 Accepting new patients

Locations

2003 Southern Blvd SE
Ste 109
Rio Rancho, NM 87124
Phone (505) 892-2222

3301 Southern Blvd SE
Ste 304
Rio Rancho, NM 87124
Phone (505) 891-2280

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1508460627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 PLAZA PASEO ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144808",
            "telephone_number": "505-917-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SOUTHERN BLVD SE STE 304",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242087",
            "telephone_number": "505-892-2222",
            "fax_number": "505-892-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "AUSTIN",
        "middle_name": "GREG",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2025; 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.

Verify at the official NPI Registry.