Seth Bradley Lunneborg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1103 Issued in ND

Practice address

3260 20TH St S Ste a
Fargo, ND 58104-5924

Phone

(701) 680-9232

NPI assigned

Dec 6, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fargo Moorhead Chiropractic and Wellness PA

  • Chiropractor
  • Fargo, ND
  • NPI 1437702503
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1831633106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 20TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045924",
            "telephone_number": "701-680-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 20TH ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045924",
            "telephone_number": "701-680-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNNEBORG",
        "first_name": "SETH",
        "middle_name": "BRADLEY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6291",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lundstrom & Skari Family Dentistry, LLC
• Lundstrom & Skari Family Family Dentistry
• Hannah Elaine Lundstrom
• James Fred Lundstrom
• James G Lundstrom, DDS
• Adelina Tina Luong-Player, M.D.
• Tyler Lursen, DC
• Corinne H Luther, LSW
• Lutheran Social Services of ND
• Lutheran Social Services of ND

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.