Individual provider Active NPI

Rick M Erickson, DC

  • Chiropractor
  • Winston-Salem, NC
National Provider Identifier
1376521989
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1377 Issued in NC
Practice address
1704 South Hawthorne Rd
Winston-Salem, NC 27103-3326
Phone
(336) 760-1333
Fax
(336) 760-9111
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1377 NC Primary

Addresses

Primary practice location

1704 South Hawthorne Rd
Winston-Salem, NC 27103-3326

Mailing address

1704 South Hawthorne Rd
Winston-Salem, NC 27103-3326
Phone (336) 760-1333

Other identifiers 1

IdentifierTypeStateIssuer
244558OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120103000641 NC Practitioner - Chiropractic 3577739176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1377NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson & Erickson LLC Chiropractor CurrentSince Oct 1, 1984 Accepting new patients

Locations

3000 Bethesda Pl
Ste 401
Winston Salem, NC 27103
Phone (336) 760-1333

3000 Bethesda Pl
Ste 401402
Winston Salem, NC 27103
Phone (336) 760-1333

1704 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 760-1333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1376521989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 SOUTH HAWTHORNE RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033326",
            "telephone_number": "336-760-1333",
            "fax_number": "336-760-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 SOUTH HAWTHORNE RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033326",
            "telephone_number": "336-760-1333",
            "fax_number": "336-760-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "RICK",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "244558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.