Leon Andre Erasmus, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

3301861202 Issued in UT

Practice address

166 E 5900 S
Suite 107
Murray, UT 84107-7257

Phone

(801) 313-0111

Fax

(801) 313-0116

NPI assigned

Aug 17, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1104018696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 E 5900 S",
            "address_2": "SUITE 107",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077257",
            "telephone_number": "801-313-0111",
            "fax_number": "801-313-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 E 5900 S",
            "address_2": "SUITE 107",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077257",
            "telephone_number": "801-313-0111",
            "fax_number": "801-313-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERASMUS",
        "first_name": "LEON",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "UT",
            "license": "3301861202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Murray, UT
• Providers in Murray, UT by specialty
• Rehabilitation Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.