Organization Active NPI

Vernon Clinic of Chiropractic, Inc

  • Chiropractor
  • Viroqua, WI
National Provider Identifier
1053512194
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1769-012 Issued in WI
Legal business name
VERNON CLINIC OF CHIROPRACTIC, INC
Practice address
1316 Bad Axe CT
Suite a
Viroqua, WI 54665-6133
Phone
(608) 637-8111
Fax
(608) 637-8722
NPI assigned
May 29, 2007
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Dr. Kris N Erlandson, D.C.NPI 1215006564
Title
President
Phone
(608) 637-8111

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1769-012 WI Primary

Addresses

Primary practice location

1316 Bad Axe CT
Suite a
Viroqua, WI 54665-6133

Mailing address

1316 Bad Axe CT
Suite a
Viroqua, WI 54665-6133
Phone (608) 637-8111

Other identifiers 1

IdentifierTypeStateIssuer
38732900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001153 WI Part B Supplier - Clinic/Group Practice 4486640489 Receives reassigned benefits from 2 practitioners
Practice locations: Viroqua, WI

National Provider Directory

National Provider Directory

Locations

1316 Bad Axe Ct
Ste A
Viroqua, WI 54665
Phone (608) 637-8111

210 Airport Rd
Ste 103A
Viroqua, WI 54665
Phone (608) 637-8111

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1053512194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 BAD AXE CT",
            "address_2": "SUITE A",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546656133",
            "telephone_number": "608-637-8111",
            "fax_number": "608-637-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 BAD AXE CT",
            "address_2": "SUITE A",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546656133",
            "telephone_number": "608-637-8111",
            "fax_number": "608-637-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON CLINIC OF CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "ERLANDSON",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-637-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1769-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38732900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.