Individual provider Active NPI

Matthew John Amundgaard, CHIROPRACTOR

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1790863371
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9069 Issued in AZ
Practice address
16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609
Phone
(623) 433-8895
Fax
(623) 455-8759
NPI assigned
Nov 1, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9069 AZ Primary

Addresses

Primary practice location

16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609

Mailing address

16995 W Greenway Rd Ste 102
Surprise, AZ 85388-9609
Phone (612) 702-7367

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101001612 AZ Practitioner - Chiropractic 0345343687 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Greenway303 Chiropractic PCGroup PAC ID 9234139205, 3 clinicians
Trinity Chiropractic LLCGroup PAC ID 0244571859, 2 clinicians

Practice addresses (Care Compare)

16995 W Greenway Rd
102 Greenway Cotton Chiropractic
Surprise, AZ 85388-9609
Phone (623) 433-8895

18275 N 59TH Ave
Suite 178
Glendale, AZ 85308-1254
Phone (602) 603-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4830MNMDSocial Worker
9069AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Az Lifestyle Chiropractic Center, PC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients
Trinity Chiropractic, LLC Chiropractor CurrentSince Jun 28, 2023 Accepting new patients
Arizona Associated Surgeons PLLC CurrentSince Jun 28, 2023 Accepting new patients
Greenway303 Chiropractic P.C. Chiropractor CurrentSince Apr 7, 2026 Accepting new patients

Locations

18275 N 59th Ave
Ste 178
Glendale, AZ 85308
Phone (602) 603-5444

18275 N 59th Ave
Ste 178M
Glendale, AZ 85308
Phone (602) 603-5444

14155 N 83rd Ave
Ste 102
Peoria, AZ 85381
Phone (623) 878-0472

16995 W Greenway Rd
Ste 102
Surprise, AZ 85388
Phone (623) 433-8895

Organizations & group practices 5

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1790863371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16995 W GREENWAY RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889609",
            "telephone_number": "612-702-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16995 W GREENWAY RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889609",
            "telephone_number": "623-433-8895",
            "fax_number": "623-455-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDGAARD",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "9069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.