Kevin James Sundberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010620 Issued in MI

Practice address

4403 W Michigan Ave
Kalamazoo, MI 49006-5866

Phone

(269) 375-6565

NPI assigned

Nov 20, 2017

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2017

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 and National Provider Directory roles.

• Lake State Chiropractic PLLC

  • Chiropractor
  • Byron Center, MI
  • NPI 1215540463
  Medicare reassignment NPD Authorized official
• Sundberg Family Chiropractic

  • Chiropractor
  • Kalamazoo, MI
  • NPI 1811305386
  Medicare reassignment NPD

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1972017481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 84TH ST SW",
            "address_2": "STE 4",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158259",
            "telephone_number": "269-375-6565"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBERG",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Sumner
• Swetha J Sundar, M.D.
• Goodness Chidinma Sunday, MD
• Sundberg Family Chiropractic
• Joshua Milton Sundberg, D.C.
• Sunstone Counseling PLLC
• Alison Marie Surdy, MA
• Sonya Sutherland, MS, OTR
• Mark Andrew Sutkowi, OD
• Alyssa Sutter

• Chiropractor in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Chiropractor in Michigan

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