Individual provider Active NPI

Eric Herrmann, D.C.

  • Chiropractor
  • Johnston, IA
National Provider Identifier
1194129460
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
075616 Issued in IA
Practice address
6110 NW 86TH St
#102
Johnston, IA 50131-2257
Phone
(515) 276-4946
NPI assigned
Oct 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 075616 IA Primary
Chiropractor 111N00000X 4458 OH

Addresses

Primary practice location

6110 NW 86TH St
#102
Johnston, IA 50131-2257

Mailing address

6110 NW 86TH St
#102
Johnston, IA 50131-2257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119002000 IA Practitioner - Chiropractic 9537381975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Herrmann Family Chiropractic LLCGroup PAC ID 6901028596, 3 clinicians

Practice addresses (Care Compare)

6110 NW 86TH St
Suite 102
Johnston, IA 50131-2257
Phone (515) 276-4946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075616IAMDChiropractor
4458OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Herrmann Family Chiropractic LLC Chiropractor CurrentSince Oct 27, 2014 Accepting new patients
A First Step Chiropractic P.L.C. Chiropractor Past Accepting new patients

Locations

6110 NW 86th St
#102
Johnston, IA 50131
Phone (515) 276-4946

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1194129460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 NW 86TH ST",
            "address_2": "#102",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 NW 86TH ST",
            "address_2": "#102",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312257",
            "telephone_number": "515-276-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "075616",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.