Individual provider Active NPI

Eryka Lynn Simonson, D.C.

  • Chiropractor
  • Klamath Falls, OR
National Provider Identifier
1689718033
Registry record updated Mar 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3474 Issued in OR
Practice address
1903 Austin St Ste B
Klamath Falls, OR 97603-5404
Phone
(541) 850-8577
Fax
(541) 850-5821
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3474 OR Primary

Addresses

Primary practice location

1903 Austin St Ste B
Klamath Falls, OR 97603-5404

Mailing address

1903 Austin St Ste B
Klamath Falls, OR 97603-5404
Phone (541) 850-8577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001714 OR Practitioner - Chiropractic 7113913526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1903 Austin St
Suite B
Klamath Falls, OR 97603-5404
Phone (541) 850-8577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eryka L. Simonson, D.C., P.C. Chiropractor CurrentSince Sep 20, 2008 Accepting new patients

Locations

1903 Austin St
Ste B
Klamath Falls, OR 97603
Phone (541) 205-6262

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393718400000",
    "number": "1689718033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 AUSTIN ST STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035404",
            "telephone_number": "541-850-8577",
            "fax_number": "541-850-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 AUSTIN ST STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976035404",
            "telephone_number": "541-850-8577",
            "fax_number": "541-850-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "ERYKA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2014-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; 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.