Active NPI
Jeffrey M Erwin, D.C.
- Chiropractor
- Saint Charles, MO
National Provider Identifier
1366630618
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Feb 18, 2010.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000170042
- Practice address
- 3737 Elm St
Saint Charles, MO 63301-4345 - Phone
- (636) 925-3933
- Fax
- (636) 925-8338
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2000170042 | MO | Primary |
Addresses
Primary practice location
3737 Elm St
Saint Charles, MO 63301-4345
Mailing address
3737 Elm St
Saint Charles, MO 63301-4345
Phone (636) 925-3933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000170042 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1366630618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 ELM ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014345",
"telephone_number": "636-925-3933",
"fax_number": "636-925-8338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 ELM ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014345",
"telephone_number": "636-925-3933",
"fax_number": "636-925-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWIN",
"first_name": "JEFFREY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2000170042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.