Active NPI
Eric Ellingson, D.C.
- Chiropractor
- Durham, NC
National Provider Identifier
1083600977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2950
- Practice address
- 5410 NC Highway 55
Suite E
Durham, NC 27713-7800 - Phone
- (919) 541-9311
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2950 | NC | Primary |
Addresses
Primary practice location
5410 NC Highway 55
Suite E
Durham, NC 27713-7800
Mailing address
5410 NC Highway 55
Suite E
Durham, NC 27713-7800
Phone (919) 541-9311
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 651206 | Other | NC | ACN |
| 085GM | Other | NC | BLUECROSS BLUESHIELD |
| 89085GM | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2950 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellingson Family Chiropractic, PA | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Durham, NC
- NPI 1851499297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1083600977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 NC HIGHWAY 55",
"address_2": "SUITE E",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137800",
"telephone_number": "919-541-9311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 NC HIGHWAY 55",
"address_2": "SUITE E",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137800",
"telephone_number": "919-541-9311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLINGSON",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "651206",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "085GM",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89085GM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.