Individual provider Active NPI

Matthew James Erlandson, D.C.

  • Chiropractor
  • Yankton, SD
National Provider Identifier
1275945735
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1289 Issued in SD
Practice address
2507 Fox Run Pkwy
Yankton, SD 57078-5318
Phone
(605) 665-8073
Fax
(605) 668-9653
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5944 MN
Chiropractor 111N00000X 1910 NE
Chiropractor 111N00000X 1289 SD Primary

Addresses

Primary practice location

2507 Fox Run Pkwy
Yankton, SD 57078-5318

Mailing address

2507 Fox Run Pkwy
Yankton, SD 57078-5318
Phone (605) 665-8073

Other identifiers 1

IdentifierTypeStateIssuer
S2835OtherSDMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160831000768 SD Practitioner - Chiropractic 4688898539 Reassigns benefits to 1 organization
I20170206000846 NE Practitioner - Chiropractic 4688898539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Chiropractic Centers PCGroup PAC ID 7911281142, 5 clinicians

Practice addresses (Care Compare)

201 N Broadway Ave
Hartington, NE 68739-4619
Phone (402) 254-9000

2507 Fox Run Pkwy
Yankton, SD 57078-5318
Phone (605) 665-8073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1910NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Chiropractic Centers, PC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
First Chiropractic Centers, PC Chiropractor Current Accepting new patients
First Chiropractic Centers, PC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
First Chiropractic Centers, PC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
Jay J Fitzgerald DC Chiropractor Past Accepting new patients
First Chiropractic Centers, PC Chiropractor Past Accepting new patients
Dakota Chiropractic Clinics, PC Chiropractor Past Accepting new patients

Locations

2507 Fox Run Pkwy
Yankton, SD 57078
Phone (605) 665-8073

Organizations & group practices 7

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1275945735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 FOX RUN PKWY",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785318",
            "telephone_number": "605-665-8073",
            "fax_number": "605-668-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 FOX RUN PKWY",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785318",
            "telephone_number": "605-665-8073",
            "fax_number": "605-668-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLANDSON",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5944",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1910",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S2835",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.