Organization Active NPI

Eilrich Family Chiropractic & Wellness

  • Chiropractor
  • Faribault, MN
National Provider Identifier
1467517128
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4831 Issued in MN
Legal business name
EILRICH FAMILY CHIROPRACTIC & WELLNESS
Practice address
1620 Highway 60 W
Suite #1
Faribault, MN 55021-4874
Phone
(507) 384-3800
Fax
(507) 384-3803
NPI assigned
Dec 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Robert James Eilrich, D.C.NPI 1902832223
Title
President
Phone
(507) 384-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4831 MN Primary

Addresses

Primary practice location

1620 Highway 60 W
Suite #1
Faribault, MN 55021-4874

Mailing address

1620 Highway 60 W
Suite #1
Faribault, MN 55021-4874
Phone (507) 384-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121106000150 MN Part B Supplier - Clinic/Group Practice 9931350634 Receives reassigned benefits from 1 practitioner
Practice locations: Faribault, MN

National Provider Directory

National Provider Directory

Locations

1620 Highway 60 W
Ste 1
Faribault, MN 55021
Phone (507) 384-3800

1223 Highway 60 W
Faribault, MN 55021
Phone (507) 384-3800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1467517128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 60 W",
            "address_2": "SUITE #1",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214874",
            "telephone_number": "507-384-3800",
            "fax_number": "507-384-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGHWAY 60 W",
            "address_2": "SUITE #1",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214874",
            "telephone_number": "507-384-3800",
            "fax_number": "507-384-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILRICH FAMILY CHIROPRACTIC & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-23",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "EILRICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-384-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.