Individual provider Active NPI

Eric R. Carlsen, D.C.

  • Chiropractor
  • Manakin Sabot, VA
National Provider Identifier
1366426256
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001759 Issued in VA
Practice address
115 Broad Street Rd
Manakin Sabot, VA 23103-2218
Phone
(804) 784-0161
NPI assigned
Dec 3, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001759 VA Primary

Addresses

Primary practice location

115 Broad Street Rd
Manakin Sabot, VA 23103-2218

Mailing address

115 Broad Street Rd
Manakin Sabot, VA 23103-2218
Phone (804) 784-0161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000007 VA Practitioner - Chiropractic 7810911369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Center of Richmond LLCGroup PAC ID 8820012370, 3 clinicians

Practice addresses (Care Compare)

115 Broad St Rd
Manakin Sabot, VA 23103-2272
Phone (804) 784-0161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Center of Richmond, LLC Chiropractor CurrentSince Jun 30, 2003 Accepting new patients

Locations

115 Broad Street Rd
Manakin Sabot, VA 23103
Phone (804) 708-2089

1900 Manakin Rd
Ste C
Manakin Sabot, VA 23103

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366426256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROAD STREET RD",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032218",
            "telephone_number": "804-784-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROAD STREET RD",
            "city": "MANAKIN SABOT",
            "state": "VA",
            "postal_code": "231032218",
            "telephone_number": "804-784-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "ERIC",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manakin Sabot, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.