Randall Lundgren, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

708 Issued in MT

Practice address

662 S Ferguson Ave Ste 1
Bozeman, MT 59718

Phone

(406) 586-1984

Fax

(406) 551-2049

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

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.

• Lundgren Chiropractic Clinic

  • Orthopedic Chiropractor
  • Bozeman, MT
  • NPI 1336454305
  Medicare reassignment NPD Authorized official
• Backcountry Relief LLC

  • Chiropractor
  • Bozeman, MT
  • NPI 1528859287
  NPD
• Lundgren Chiropractic, P.C.

  • Chiropractor
  • Chandler, AZ
  • NPI 1770777203
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1861572224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "662 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186492",
            "telephone_number": "406-586-1984",
            "fax_number": "406-551-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "662 S FERGUSON AVE STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59718",
            "telephone_number": "406-586-1984",
            "fax_number": "406-551-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MT",
            "license": "708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M011000443",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Lukkason
• Christopher Lumsden, PA-C
• Marci Kim Lund, AU.D., F-AAA, CCC-
• Jason Brooks Lunden, DPT
• Lundgren Chiropractic Clinic
• Tracy Lynn Lundgren, PTA
• Alyssa K Lundquist
• Lupine Pediatric Therapy LLC
• Gary Franklin Lusin, PT MS ATC CSCS
• Mary Jo Lusin, PT

• Orthopedic Chiropractor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Orthopedic Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.