Active NPI
Kirk Eriksen, DC
- Chiropractor
- Dothan, AL
National Provider Identifier
1710074323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1411
- Practice address
- 2500 Flowers Chapel Rd
Dothan, AL 36305-8300 - Phone
- (334) 793-7992
- Fax
- (334) 792-0210
- NPI assigned
- Oct 6, 2006
- 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 | 1411 | AL | Primary |
Addresses
Primary practice location
2500 Flowers Chapel Rd
Dothan, AL 36305-8300
Mailing address
102 Sterling Ridge CT
Dothan, AL 36303-9301
Phone (334) 714-5869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120410000309 | AL | Practitioner - Chiropractic | 0244491736 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2500 Flowers Chapel Rd
Dothan, AL 36305-8300
Phone (334) 793-7992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1411 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Medicine of Alabama | Current | Accepting new patients |
Locations
2500 Flowers Chapel Rd
Dothan, AL 36305
Phone (334) 699-4299
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": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1710074323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 STERLING RIDGE CT",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363039301",
"telephone_number": "334-714-5869",
"fax_number": "334-671-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 FLOWERS CHAPEL RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363058300",
"telephone_number": "334-793-7992",
"fax_number": "334-792-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERIKSEN",
"first_name": "KIRK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "1411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.