NPIMap

Organization Active NPI

Lundstrom Chiropractic Centers, Inc.

  • Clinic/Center
  • White Bear Lake, MN
National Provider Identifier
1881839223
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2261 Issued in MN
Legal business name
LUNDSTROM CHIROPRACTIC CENTERS, INC.
Practice address
4801 Highway 61 N
Suite 100
White Bear Lake, MN 55110-2737
Phone
(651) 429-6401
Fax
(651) 429-8930
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Dr. John Lundstrom, D.C.
Title
President
Phone
(651) 429-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2261 MN Primary

Addresses

Primary practice location

4801 Highway 61 N
Suite 100
White Bear Lake, MN 55110-2737

Mailing address

4801 Highway 61 N
Suite 100
White Bear Lake, MN 55110-2737
Phone (651) 429-6401

National Provider Directory

National Provider Directory

Locations

4801 Highway 61 N
Ste 100
White Bear Lk, MN 55110
Phone (651) 429-5401

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1881839223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 HIGHWAY 61 N",
            "address_2": "SUITE 100",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102737",
            "telephone_number": "651-429-6401",
            "fax_number": "651-429-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 HIGHWAY 61 N",
            "address_2": "SUITE 100",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551102737",
            "telephone_number": "651-429-6401",
            "fax_number": "651-429-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDSTROM CHIROPRACTIC CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "LUNDSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-429-6401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "2261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.