Individual provider Active NPI

Michaela Lynn Erwin, DC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1497413215
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1160 Issued in ND
Practice address
215 W Main Ave
Bismarck, ND 58501-3741
Phone
(701) 255-4241
NPI assigned
Nov 30, 2021
Last updated
Oct 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1160 ND Primary

Addresses

Primary practice location

215 W Main Ave
Bismarck, ND 58501-3741

Mailing address

3213 43Rd Ave NE Apt 206
Bismarck, ND 58503-8089
Phone (218) 298-1961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001984 ND Practitioner - Chiropractic 6406237338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1160NDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Life Family Chiropractic, PC CurrentSince Dec 9, 2024 Accepting new patients

Locations

3001 Yorktown Dr
Ste 3
Bismarck, ND 58503
Phone (701) 712-8588

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1497413215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 43RD AVE NE APT 206",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038089",
            "telephone_number": "218-298-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013741",
            "telephone_number": "701-255-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "MICHAELA",
        "middle_name": "LYNN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.