Active NPI
Terry Erickson, D.C.
- Chiropractor
- Fresno, CA
National Provider Identifier
1306148598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19443
- Practice address
- 5612 N Fresno St Ste 112
Fresno, CA 93710-6182 - Phone
- (612) 460-8855
- NPI assigned
- Nov 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19443 | CA | Primary |
Addresses
Primary practice location
5612 N Fresno St Ste 112
Fresno, CA 93710-6182
Mailing address
7726 N 1St St Ste 180
Fresno, CA 93720-0989
Phone (612) 460-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160418001632 | CA | Practitioner - Chiropractic | 2567760986 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5612 N Fresno St
Suite 112
Fresno, CA 93710-6182
Phone (559) 490-9550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19443 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1306148598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7726 N 1ST ST STE 180",
"city": "FRESNO",
"state": "CA",
"postal_code": "937200989",
"telephone_number": "612-460-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5612 N FRESNO ST STE 112",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106182",
"telephone_number": "612-460-8855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-22",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.