Lloyd Dane Ericson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003108A Issued in IN

Practice address

1332 W Arch Haven Ave Ste C
Bloomington, IN 47403-2078

Phone

(812) 333-7447

Fax

(812) 333-7442

NPI assigned

Jul 22, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osmon Chiropractic Center, LLCGroup PAC ID 3779672878, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon Wellness Center, LLC

  • Chiropractor
  • Bloomington, IN
  • NPI 1740469709
  Medicare reassignment Care Compare group NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1043863780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 W ARCH HAVEN AVE STE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032078",
            "telephone_number": "812-333-7447",
            "fax_number": "812-333-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 W ARCH HAVEN AVE STE C",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032078",
            "telephone_number": "812-333-7447",
            "fax_number": "812-333-7442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 SR 39 Bypass S",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "IN",
            "postal_code": "46151",
            "country_code": "US",
            "telephone_number": "765-315-0680",
            "fax_number": "765-315-0681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "LLOYD",
        "middle_name": "DANE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Enyiaku
• Ellen Epstein, LCSW
• Equilibrium Counseling and Consulting, LLC
• Gabrielle Erceg
• Bradley W Erickson, M.D.
• Winford Robert Erwin, MD
• David C Esarey, MD
• Katharine J Esarey, MSW
• Sydney Espich, RBT
• Maria Espino, RBT

• Chiropractor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.