Individual provider Active NPI

Lynn D Lundrigan, DC

  • Chiropractor
  • Richland, WA
National Provider Identifier
1699871475
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00001702 Issued in WA
Practice address
110 Columbia Point Dr
Richland, WA 99352-4387
Phone
(509) 946-7692
Fax
(509) 943-8639
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00001702 WA Primary

Addresses

Primary practice location

110 Columbia Point Dr
Richland, WA 99352-4387

Mailing address

110 Columbia Point Dr
Richland, WA 99352-4387
Phone (509) 946-7692

Other identifiers 2

IdentifierTypeStateIssuer
CH00001702OtherWASTATE LICENSE
111N00000XOtherWATAXONOMY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208001012 WA Practitioner - Chiropractic 3779763784 Reassigns benefits to 1 organization
Practice locations: Richland, WA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Wellness Center,LLCGroup PAC ID 1456428218, 3 clinicians

Practice addresses (Care Compare)

110 Columbia Point Dr
Richland, WA 99352-4387
Phone (509) 946-7692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Wellness Center LLC Chiropractor CurrentSince Dec 30, 2017 Accepting new patients
Cantley Vision Inc PS PastSince Dec 30, 2017 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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1699871475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-946-7692",
            "fax_number": "509-943-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COLUMBIA POINT DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524387",
            "telephone_number": "509-946-7692",
            "fax_number": "509-943-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDRIGAN",
        "first_name": "LYNN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CH00001702",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "111N00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.