Active NPI
Benjamin W Erlandson, D.C.
- Chiropractor
- Onalaska, WI
National Provider Identifier
1396981569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4459012
- Practice address
- 1613 Main St Ste 4
Onalaska, WI 54650-2888 - Phone
- (608) 783-5768
- Fax
- (608) 783-1506
- NPI assigned
- Dec 18, 2008
- 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 | 4459012 | WI | Primary |
Addresses
Primary practice location
1613 Main St Ste 4
Onalaska, WI 54650-2888
Mailing address
700 S Main St
Westby, WI 54667-1335
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4459012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Erlandson DCSC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Westby, WI
- NPI 1245381722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1396981569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 S MAIN ST",
"city": "WESTBY",
"state": "WI",
"postal_code": "546671335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 MAIN ST STE 4",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546502888",
"telephone_number": "608-783-5768",
"fax_number": "608-783-1506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERLANDSON",
"first_name": "BENJAMIN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-18",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4459012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Onalaska, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.