Erickson Chiropractic, P.C.

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

Legal business name

ERICKSON CHIROPRACTIC, P.C.

Practice address

428 Fairmount Ave
Jamestown, NY 14701-2757

Phone

(716) 665-6226

Fax

(716) 665-3159

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth John Erickson, PHD, DC, BS, DACBNNPI 1043375603

Title

President/Owner

Phone

(716) 665-6226

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Kenneth John Erickson, PHD., D.C., B.S, DAC

  • Neurology Chiropractor
  • Jamestown, NY
  • NPI 1043375603
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1346622032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012757",
            "telephone_number": "716-665-6226",
            "fax_number": "716-665-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012757",
            "telephone_number": "716-665-6226",
            "fax_number": "716-665-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "716-665-6226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DC, BS, DACBN"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "56926B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Edwards
• Zachary Eklum, MD
• Robert Ellis
• Sylvia A Emerling, LMSW
• Jenna Emley, OTR/L
• Samantha Erickson-Lamb
• Dennis B Erickson, RPH
• Kenneth John Erickson, PHD., D.C., B.S, DAC
• Lisa A Erickson, FNP-BC
• Kristen Beth Ernewein

• Neurology Chiropractor in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Neurology Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.