DR. RANDALL LUNDGREN (NPI# 1861572224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861572224 |
Entity Type | Individual |
Full Name | DR. RANDALL LUNDGREN |
Credential | D.C. |
Practice Address |
662 S Ferguson Ave Ste 1 Bozeman MT 59718 |
Mailing Address |
662 S Ferguson Ave Ste 1 Bozeman MT 59718-6492 |
Practice Telephone | 4065861984 |
Practice Fax Number | 4065512049 |
Mailing Telephone | 4065861984 |
Mailing Fax Number | 4065512049 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2018-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
708 | MT | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | MEDICARE PTAN | M011000443 | 01 |
Street Address |
662 S FERGUSON AVE STE 1 |
City | BOZEMAN |
State | MT |
Zip Code | 59718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
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Taxonomy Code | 111NX0800X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Orthopedic |
Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336454305 | Lundgren Chiropractic Clinic | Chiropractor | 102 S 19th Ave Ste 3, Bozeman, MT 59718-6860 | 2010-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265581359 | Jonnie Kay Gilbert Taylor | Chiropractor | 1308 12th Ave S, Great Falls, MT 59405-4604 | 2007-01-09 |
1063571396 | Donald D. Garvin | Chiropractor | 926 Main St, Suite 17, Billings, MT 59105-3359 | 2006-12-06 |
1467510222 | Lee Sanford Hudson | Chiropractor | 1114 9th St S, Great Falls, MT 59405-4402 | 2006-12-05 |
1225115116 | Randall Scott Hultgren | Chiropractor | 944 Ave B, Billings, MT 59102-3346 | 2006-11-01 |
1538240148 | Robert Allen Hecht | Chiropractor | 932 Aspen St, Helena, MT 59601-0704 | 2006-10-18 |
1457388472 | Steven R. Biggs | Chiropractor | 248 3rd Ave E, Kalispell, MT 59901-4532 | 2006-06-26 |
1013281716 | Hultgren Chiropractors PC | Chiropractor | 944 Ave B, Billings, MT 59102-3346 | 2012-02-28 |
1952519548 | Back To Health | Chiropractor | 248 3rd Ave E, Kalispell, MT 59901-4532 | 2007-05-18 |
1790838126 | Great Falls Chiropractic Clinic, P.l.l.c | Chiropractor | 400 13th Ave S, Suite 104, Great Falls, MT 59405-4300 | 2007-01-19 |
1306821897 | Noel Douglas Hoklin | Chiropractor | 1643 24th St W, Suite 203, Billings, MT 59102-2677 | 2005-12-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.