Active NPI
Trevor Ovie Eriksen, B.A., D.C.
- Chiropractor
- Reno, NV
National Provider Identifier
1689846792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- B01046
- Practice address
- 855 W 7TH St
Ste 23
Reno, NV 89503-2705 - Phone
- (775) 329-3600
- NPI assigned
- Mar 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | B01046 | NV | Primary |
Addresses
Primary practice location
855 W 7TH St
Ste 23
Reno, NV 89503-2705
Mailing address
855 W 7TH St
Ste 23
Reno, NV 89503-2705
Phone (775) 329-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050823001095 | NV | Practitioner - Chiropractic | 4284601113 | Practice locations: Reno, NV |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
855 W 7TH St
Suite 23
Reno, NV 89503-2706
Phone (775) 329-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1689846792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 W 7TH ST",
"address_2": "STE 23",
"city": "RENO",
"state": "NV",
"postal_code": "895032705",
"telephone_number": "775-329-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 W 7TH ST",
"address_2": "STE 23",
"city": "RENO",
"state": "NV",
"postal_code": "895032705",
"telephone_number": "775-329-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERIKSEN",
"first_name": "TREVOR",
"middle_name": "OVIE",
"name_prefix": "Dr.",
"credential": "B.A., D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.