Eric Gordon Koehler, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3880 Issued in MN

Practice address

1545 Larpenteur Ave W
Falcon Heights, MN 55113-6316

Phone

(651) 487-2198

Fax

(651) 646-0283

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• East St Paul Health PA

  • Chiropractor
  • Saint Paul, MN
  • NPI 1376967489
  NPD (past) Authorized official
• Premier Health of Coon Rapids, Inc

  • Chiropractor
  • Coon Rapids, MN
  • NPI 1073915732
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710002175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136316",
            "telephone_number": "651-487-2198",
            "fax_number": "651-646-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 LARPENTEUR AVE W",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551136316",
            "telephone_number": "651-487-2198",
            "fax_number": "651-646-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "ERIC",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najma Ibrahim Elmi
• Larry Lee Estebo, D.C.
• Hamline Family Dental
• James Kernik, D.D.S.
• Christiane Blank Knaus, PHARMD RPH
• Sarah Lavaque
• Mercarik Inc
• Minnesota Eye Consultants, PA
• Grant Davis Mitchell, MOTR/L
• Anne Marie Derosier Muench

• Chiropractor in Falcon Heights, MN
• Providers in Falcon Heights, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.