Jordan Derrick Lunski, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1118 Issued in ND

Practice address

4700 S Washington St Ste B
Grand Forks, ND 58201-8155

Phone

(701) 739-2423

NPI assigned

Feb 4, 2020

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vertebrae PLLC

  • Chiropractor
  • Grand Forks, ND
  • NPI 1689208845
  Medicare reassignment NPD Authorized official
• Relieve Physical Therapy LLC

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1669173654
  NPD

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1821629221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 E PRAIRIEWOOD DR",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013241",
            "telephone_number": "701-739-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST STE B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-739-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSKI",
        "first_name": "JORDAN",
        "middle_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Lundgren, LICSW
• Sonya Lundstrom, LSW
• Parker James Luney, LPC
• Eric R Lunn, MD
• Erin E Lunski, LCAC, LMSW
• Luxottica of America Inc. (Target Optical #4180)
• Lvctr PLLC (Lifetime Vision Center)
• Madison Lynch
• Derek John Lyste, MD
• M.S. Johnson PC

• Chiropractor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.