Erik R. Evans, CHIROPRACTOR

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1492 Issued in ID

Practice address

2621 Overland Ave
Burley, ID 83318-5084

Phone

(208) 678-4100

Fax

(208) 678-4101

NPI assigned

Apr 10, 2012

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in ID

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evans Family Chiropractic, LLC.

  • Chiropractor
  • Burley, ID
  • NPI 1528334554
  Medicare reassignment NPD Authorized official
• Olsen Chiropractic Center PLLC

  • Chiropractor
  • Burley, ID
  • NPI 1750568036
  NPD (past)

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1225394778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 OVERLAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833185084",
            "telephone_number": "208-678-4100",
            "fax_number": "208-678-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 OVERLAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833185084",
            "telephone_number": "208-678-4100",
            "fax_number": "208-678-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ERIK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty R Enger
• Lynne Eppers
• Katelin Tingey Erekson, CF-SLP
• Evans Dental PA
• Evans Family Chiropractic, LLC.
• Evening Medical Clinic
• F. B. Fitts Jr., M.D. PC
• Family Health Services Corporation
• Family Health Services Corporation (FHS Burley Pharmacy)
• Family Health Services Corporation (Family Health Services)

• Chiropractor in Burley, ID
• Providers in Burley, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.