Organization Active NPI

Hometown Family Chiropractic, PLLC

  • Chiropractor
  • Coeur d'Alene, ID
National Provider Identifier
1720715162
Registry record updated Feb 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOMETOWN FAMILY CHIROPRACTIC, PLLC
Practice address
291 E Appleway Ave
Coeur D Alene, ID 83814-3724
Phone
(406) 253-5025
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2023

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

Authorized official

Name
Dr. Erik Lund, D.C.NPI 1205498953
Title
Chiropractor
Phone
(406) 253-5025

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 Primary

Addresses

Primary practice location

291 E Appleway Ave
Coeur D Alene, ID 83814-3724

Mailing address

47 Sunset CT
Kalispell, MT 59901-2537
Phone (406) 253-5025

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230105002991 ID Part B Supplier - Clinic/Group Practice 5597135665 Receives reassigned benefits from 2 practitioners
Practice locations: Coeur D Alene, ID

National Provider Directory

National Provider Directory

Locations

291 E Appleway Ave
Ste 101
Coeur D Alene, ID 83814
Phone (208) 261-2206

291 E Appleway Ave
Coeur D Alene, ID 83814
Phone (406) 253-5025

2775 N Howard St
Ste 1A
Coeur D Alene, ID 83815

Practitioners & affiliated clinicians

Practitioners 2

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": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676764800000",
    "number": "1720715162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 SUNSET CT",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012537",
            "telephone_number": "406-253-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E APPLEWAY AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143724",
            "telephone_number": "406-253-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2023-02-19",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "406-253-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2023; 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.