NPIMap

Organization Active NPI

Lundius Family Chiropractic

  • Chiropractor
  • Marion, IN
National Provider Identifier
1811064421
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0800619A Issued in IN
Legal business name
LUNDIUS FAMILY CHIROPRACTIC
Practice address
1114 N Western Ave
Marion, IN 46952
Phone
(765) 662-0395
Fax
(765) 662-0396
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Robert T Lundius, DC
Title
Doctor Owner
Phone
(765) 662-0395

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 0800619A IN Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 08001730A IN

Addresses

Primary practice location

1114 N Western Ave
Marion, IN 46952

Mailing address

PO Box 402
1114 N Western
Marion, IN 46952
Phone (765) 662-0395

Other identifiers 1

IdentifierTypeStateIssuer
000000101890OtherINBCBS

National Provider Directory

National Provider Directory

Locations

1114 N Western Ave
Marion, IN 46952
Phone (765) 662-0395

Practitioners & affiliated clinicians

Practitioners 1

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1811064421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "address_2": "1114 N WESTERN",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-662-0395",
            "fax_number": "765-662-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-662-0395",
            "fax_number": "765-662-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDIUS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "LUNDIUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "765-662-0395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "0800619A",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001730A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000101890",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.