MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) – Chiropractor, NPI 1790863371

MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) is a healthcare provider. based in Edina, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials CHIROPRACTOR. They hold a License No. 9069 (AZ). The NPI Number for MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) is 1790863371

Main info

Male
Sole Proprietor
20 Years Of Experience
Name
MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR)
NPI
1790863371
Phone
(612) 702-7367
Address
7201 YORK AVE S APT 802
Enumeration Date
1 November 2006
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
6026035444
Graduation Year
2006 (20 years ago)
PAC ID
0345343687
Group Practice PAC ID
0244571859
Professional Enrollment ID
I20211101001612
Address ID
AZ853081254GL18275AVEX442
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

762 CHIROPRACTIC in AZ

Provider Addresses for MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR)

  • 7201 YORK AVE S APT 802

    EDINA, MN 554354443

    Phone: (612) 702-7367

    Type: Mailing

  • 16995 W GREENWAY RD STE 102

    SURPRISE, AZ 853889609

    Phone: (612) 702-7367

    Type: Mailing

  • Red's Savoy Pizza, 1146, County Road E East, Vadnais Heights, Ramsey County, Minnesota, 55110, United States

    VADNAIS HEIGHTS, MN 55110

    Phone: (651) 486-9333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211101001612IChiropracticAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions17045$0
View full utilization report →

Insurance plans in this area (ZIP 55435)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244571859View full group profile
NameSpecialtyState
C H I R O P R A C T I CAZ

Reviews

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Frequently asked questions

Is MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) listed with a National Provider Identifier?
Yes — MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) has NPI 1790863371 on file in the registry.
Is MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) shown as active in public data?
Registry records indicate MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) maintains an active NPI.
What clinical focus is listed for MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR)?
At a glance, MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR)?
Travel planning: use Edina, Minnesota as the reference point for MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR), then confirm.
When was this NPI issued?
Enumeration for MATTHEW JOHN AMUNDGAARD (CHIROPRACTOR) is noted as November 1, 2006 where the registry provides it.

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