Organization Active NPI

Matthew J. Lundeberg, Inc.

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1679717870
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1781 Issued in OH
Legal business name
MATTHEW J. LUNDEBERG, INC.
Practice address
7687 Beechmont Ave
Cincinnati, OH 45255-4216
Phone
(513) 232-9040
Fax
(513) 232-9376
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Matthew Lundeberg, DCNPI 1275594350
Title
President
Phone
(513) 271-1233

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1781 OH Primary

Addresses

Primary practice location

7687 Beechmont Ave
Cincinnati, OH 45255-4216

Mailing address

7687 Beechmont Ave
Cincinnati, OH 45255-4216
Phone (513) 232-9040

Other identifiers 1

IdentifierTypeStateIssuer
000000386554OtherOHANTHEM BC/BS

National Provider Directory

National Provider Directory

Locations

7687 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 232-9040

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1679717870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7687 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-232-9040",
            "fax_number": "513-232-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7687 BEECHMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554216",
            "telephone_number": "513-232-9040",
            "fax_number": "513-232-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J. LUNDEBERG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "LUNDEBERG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-271-1233",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000386554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.