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DR. BODEN SUNDEEN DC
NPI 1023992922
Chiropractor in Auburn, NY

Active since August 04, 2025
29 E GENESEE ST, AUBURN, NY 13021(315) 857-5501 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Aug 4, 2025 (2 updates tracked since 2025).

About Dr. Boden Sundeen Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BODEN SUNDEEN DC (NPI 1023992922) is an individual chiropractor in Auburn, New York, licensed in New York (013961) and active in the NPI registry since August 2025. He is a graduate of New York Chiropractic College (2025).

NPPES Registry Identity

NPI1023992922
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BODEN SUNDEENCredential: DC
Location Address29 E GENESEE STAuburn, NY 13021-4069
Mailing Address4480 Dublin Rd Apt 1Marcellus, NY 13108-1018 · (518) 764-2569
Phone(315) 857-5501
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2025
Enumeration DateAugust 4, 2025
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1023992922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 013961
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
29 E GENESEE ST, Auburn, NY 13021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Boden Sundeen Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244720092
PECOS Enrollment IDI20251110000734

Medicare Billing Reassignments

2

Medicare enrollment records show Boden Sundeen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sundeen Chiropractic PLLC
Same address
Chiropractor
29 E GENESEE ST
Auburn, NY 13021
  • Reassigned Medicare billing, New York enrollment
NPI 1043191547 (315) 857-5501
Ryan Chiropractic PLLC
14 mi
Chiropractor
2374 MOUND RD RTE 414
Waterloo, NY 13165
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1528134178 (315) 539-3262

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUNDEEN CHIROPRACTIC PLLC
Chiropractor
29 E GENESEE ST
AUBURN, NY 13021
Cayuga County (315) 857-5501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boden Sundeen's NPI number?

The NPI number for Boden Sundeen is 1023992922. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Boden Sundeen located?

Boden Sundeen practices at 29 E Genesee St, Auburn, NY 13021. The listed phone number is (315) 857-5501.

What is Boden Sundeen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Boden Sundeen enrolled in Medicare?

Yes. Boden Sundeen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Boden Sundeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Boden Sundeen reassigns Medicare benefits to 2 organizations: Sundeen Chiropractic PLLC (Auburn, NY) and Ryan Chiropractic PLLC (Waterloo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Boden Sundeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Boden Sundeen was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.