Organization Active NPI

Caressa Gullikson, DC LLC

  • Chiropractor
  • Ashland, OR
National Provider Identifier
1003487232
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CARESSA GULLIKSON, DC LLC
Practice address
108 E Hersey St Ste 2a
Ashland, OR 97520-1363
Phone
(541) 482-4823
NPI assigned
Jul 8, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Caressa A Gullikson, DCNPI 1780048694
Title
Owner
Phone
(541) 941-4959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210921000362 OR Part B Supplier - Clinic/Group Practice 3577960418 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, OR

National Provider Directory

National Provider Directory
Tax ID family
Caressa Gullikson DC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

108 E Hersey St
#2A
Ashland, OR 97520
Phone (541) 482-2904

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Clinic/Center 261Q00000X

Addresses

NPPES NPI Registry

Primary practice location

108 E Hersey St Ste 2a
Ashland, OR 97520-1363

Mailing address

108 E Hersey St Ste 2a
Ashland, OR 97520-1363
Phone (541) 482-4823

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2021.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1003487232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST STE 2A",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E HERSEY ST STE 2A",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201363",
            "telephone_number": "541-482-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESSA GULLIKSON, DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "GULLIKSON",
        "authorized_official_first_name": "CARESSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-941-4959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.