Active NPI
Caressa Gullikson, DC LLC
- Chiropractor
- Ashland, OR
National Provider Identifier
1003487232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, DC
- 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.
-
- Chiropractor
- Ashland, OR
- NPI 1780048694
-
- Chiropractor
- Ashland, OR
- NPI 1366463804
-
- Chiropractor
- Ashland, OR
- NPI 1760441521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Portland, OR
- NPI 1003390717
Locations
108 E Hersey St
#2A
Ashland, OR 97520
Phone (541) 482-2904
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
NPPES NPI RegistryPrimary 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.