Organization Active NPI

Erickson Chiropractic Health

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1255881694
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6756 Issued in FL
Legal business name
ERICKSON CHIROPRACTIC HEALTH
Practice address
450 NE 20TH St
#114
Boca Raton, FL 33431-8160
Phone
(561) 393-6231
Fax
(561) 393-3831
NPI assigned
Oct 10, 2016
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Dr. Brock T Erickson, DCNPI 1538292438
Title
Doctor/Owner
Phone
(561) 393-6231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6756 FL Primary

Addresses

Primary practice location

450 NE 20TH St
#114
Boca Raton, FL 33431-8160

Mailing address

450 NE 20TH St
#114
Boca Raton, FL 33431-8160
Phone (561) 393-6231

National Provider Directory

National Provider Directory

Locations

450 NE 20th St
Ste 114
Boca Raton, FL 33431
Phone (561) 368-2446

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1255881694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NE 20TH ST",
            "address_2": "#114",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318160",
            "telephone_number": "561-393-6231",
            "fax_number": "561-393-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NE 20TH ST",
            "address_2": "#114",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318160",
            "telephone_number": "561-393-6231",
            "fax_number": "561-393-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON CHIROPRACTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "BROCK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "561-393-6231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.