Individual provider Active NPI

Erik Isaacson, DC

  • Chiropractor
  • Mandan, ND
National Provider Identifier
1487709580
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
554 Issued in ND
Practice address
1302 1St St NE
Mandan, ND 58554
Phone
(701) 663-0480
Fax
(701) 663-9046
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 554 ND Primary

Addresses

Primary practice location

1302 1St St NE
Mandan, ND 58554

Mailing address

1302 1St St NE
Mandan, ND 58554
Phone (701) 663-0480

Other identifiers 3

IdentifierTypeStateIssuer
25907OtherNDBCBS
17759MedicaidND
350029309OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000990 ND Practitioner - Chiropractic 0143328492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mandan Chiropractic Clinic IncGroup PAC ID 6305815762, 2 clinicians

Practice addresses (Care Compare)

1302 1St St NE
Mandan, ND 58554-3784
Phone (701) 663-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
552NDMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mandan Chiropractic Clinic Inc. Chiropractor CurrentSince Sep 1, 1993 Accepting new patients
Schoepp Family Chiropractic, P. C. Past Accepting new patients

Locations

1302 1st St NE
Ste A
Mandan, ND 58554
Phone (701) 663-0480

1302 1st St NE
Mandan, ND 58554
Phone (701) 663-0480

Organizations & group practices 2

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1487709580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 1ST ST NE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-663-0480",
            "fax_number": "701-663-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 1ST ST NE",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "58554",
            "telephone_number": "701-663-0480",
            "fax_number": "701-663-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "ERIK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25907",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17759",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350029309",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.