Stephanie D Erickson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5157 Issued in AZ

Practice address

6615 W Happy Valley Rd
Ste B105
Glendale, AZ 85310-2608

Phone

(623) 572-9820

Fax

(623) 572-9830

NPI assigned

Mar 11, 2010

Last updated

Mar 11, 2010By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1184947608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W HAPPYVALLEY RD",
            "address_2": "STE B105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "telephone_number": "623-572-9820",
            "fax_number": "623-572-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W HAPPY VALLEY RD",
            "address_2": "STE B105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102608",
            "telephone_number": "623-572-9820",
            "fax_number": "623-572-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "STEPHANIE",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Erickson
• Jeffrey Hildor Erickson, DDS
• Marvin L Erickson, M.D.
• Natalie Erickson
• Robert Todd Erickson, DDS, MS
• Sydney Erickson
• Alexander Erikson, DO
• Yailin D Erives, RBT
• Amy Erlenbusch, PA
• Carly Anne Ernst, DO

• Chiropractor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.