Organization Active NPI

Sundberg Family Chiropractic

  • Chiropractor
  • Kalamazoo, MI
National Provider Identifier
1811305386
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010202 Issued in MI
Legal business name
SUNDBERG FAMILY CHIROPRACTIC
Practice address
4403 W Michigan Ave
Kalamazoo, MI 49006-5866
Phone
(269) 375-6565
Fax
(269) 375-7168
NPI assigned
Jul 29, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Joshua Milton Sundberg, D.C.NPI 1023425568
Title
President
Phone
(269) 375-6565

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
Chiropractor 111N00000X 2301010202 MI Primary

Addresses

Primary practice location

4403 W Michigan Ave
Kalamazoo, MI 49006-5866

Mailing address

4403 W Michigan Ave
Kalamazoo, MI 49006-5866
Phone (269) 375-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140909001586 MI Part B Supplier - Clinic/Group Practice 4688893464 Receives reassigned benefits from 2 practitioners
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

4403 W Michigan Ave
Kalamazoo, MI 49006
Phone (269) 330-2381

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1811305386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065866",
            "telephone_number": "269-375-6565",
            "fax_number": "269-375-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065866",
            "telephone_number": "269-375-6565",
            "fax_number": "269-375-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDBERG FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-375-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.