Derek Allan Sundby, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1149 Issued in ND

Practice address

106 W 2ND Ave S
Cavalier, ND 58220-4117

Phone

(701) 265-4114

Fax

(701) 265-4113

NPI assigned

Oct 16, 2018

Last updated

Feb 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grafton Chiropractic Clinic PCGroup PAC ID 8224191226, 4 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grafton Chiropractic Clinic, P.C.

  dba Back In Motion Chiropractic Clinic

  • Chiropractor
  • Grafton, ND
  • NPI 1952547978
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1972079085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W 12TH ST",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582372144",
            "telephone_number": "701-352-0400",
            "fax_number": "701-352-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 2ND AVE S",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204117",
            "telephone_number": "701-265-4114",
            "fax_number": "701-265-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBY",
        "first_name": "DEREK",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-16",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6544",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Smith, RPH
• Sarah Frances Stegman
• Stevens Dental Group (Cavalier Dental Clinic)
• Sterling Reed Stevens, DDS
• Kulvinder Sumra, MD
• Swanson Eye Clinic, PC
• Susan J Thompson, MD
• Thomas Vela
• Debra K. Vivatson, MSN ACNP-C
• White Drug Co of Jamestown Inc (Thrifty White Pharmacy #053)

• Chiropractor in Cavalier, ND
• Providers in Cavalier, 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 5, 2024; 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.