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DR. TIMOTHY JAMES MUNDERLOH DC
NPI 1104883164
Chiropractor - Neurology in Flagstaff, AZ

Active since April 26, 2006
1500 E CEDAR AVE, STE 80, FLAGSTAFF, AZ 86004(928) 556-0707(928) 522-8462 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Timothy James Munderloh Dc NPPES

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

DR. TIMOTHY JAMES MUNDERLOH DC (NPI 1104883164) is an individual neurology provider in Flagstaff, Arizona, licensed in Arizona (1058) and active in the NPI registry since April 2006. He is a graduate of Northwestern College Of Chiropractic (1998).

NPPES Registry Identity

NPI1104883164
Entity TypeIndividualMale
Primary Taxonomy111NN0400X
Provider Legal NameDR. TIMOTHY JAMES MUNDERLOHCredential: DC
Location Address1500 E CEDAR AVE, STE 80Flagstaff, AZ 86004
Mailing Address1500 E Cedar Ave, Ste 80Flagstaff, AZ 86004 · (928) 556-0707 · Fax (928) 522-8462
Phone(928) 556-0707
Fax(928) 522-8462
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 1998
Enumeration DateApril 26, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1104883164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · NeurologyChiropractic Providers
Taxonomy Code111NN0400X
License✔ Licensed in AZ · 1058
Definition
Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions.
Also ListedChiropractorTaxonomy 111N00000X · License 5935 (AZ)
1500 E CEDAR AVE, Flagstaff, AZ 86004
Open in Google Maps ↗

Other Identifiers 2

OtherAZ0941160AZ · Bcbs
Other624131United Health Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy James Munderloh Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901897156
PECOS Enrollment IDI20040519000089

Medicare Billing Reassignment

Medicare enrollment records show Timothy Munderloh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Naz Mua LLC
3.2 mi
General Practice
1501 S YALE ST STE 250
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1457173312 (928) 556-0707

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
329 services67 patients

Other Providers at the Same Location NPPES 9

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

NATIVE AMERICANS FOR COMMUNITY ACTION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1500 E CEDAR AVE, STE 26
FLAGSTAFF, AZ 86004
Coconino County (928) 773-1245
DR. TIMOTHY F MARTIN DC
Chiropractor
1500 E CEDAR AVE, SUITE 80
FLAGSTAFF, AZ 86004
Coconino County (928) 522-8459
SAFEWAY INC
Pharmacy (Community/Retail Pharmacy)
1500 E CEDAR AVE
FLAGSTAFF, AZ 86004
Coconino County (928) 774-3750
1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
1500 E CEDAR AVE
FLAGSTAFF, AZ 86004
Coconino County (928) 774-3750
DR. WARREN KLUBER PERKINS M.D.
Family Medicine
1500 E CEDAR AVE, SUITE 26
FLAGSTAFF, AZ 86004
Coconino County (928) 773-1245
DR. EVAN CHRISTIAN RIGGERT PHARMD
Pharmacist
1500 E CEDAR AVE
FLAGSTAFF, AZ 86004
Coconino County (928) 774-3750
RODGER WILLIAM BRUBAKER PHARMACIST
Pharmacist
1500 E CEDAR AVE
FLAGSTAFF, AZ 86004
Coconino County (928) 773-1155
DR. JAMI PITTS PHARMD
Pharmacist
1500 E CEDAR AVE
FLAGSTAFF, AZ 86004
Coconino County (928) 773-1155

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 Timothy Munderloh's NPI number?

The NPI number for Timothy Munderloh is 1104883164. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Timothy Munderloh located?

Timothy Munderloh practices at 1500 E Cedar Ave Ste 80, Flagstaff, AZ 86004. The listed phone number is (928) 556-0707.

What is Timothy Munderloh's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Neurology, with taxonomy code 111NN0400X.

Is Timothy Munderloh enrolled in Medicare?

Yes. Timothy Munderloh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Munderloh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Munderloh reassigns Medicare benefits to Naz Mua LLC (Flagstaff, AZ). The 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 Timothy Munderloh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Munderloh accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Providence Health Plan list Timothy Munderloh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Munderloh was last updated on September 11, 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.