Erickson Chiropractic Clinic Incorporated

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC 19684 Issued in CA

Legal business name

ERICKSON CHIROPRACTIC CLINIC INCORPORATED

Practice address

1162 Cirby Way Ste 1
Roseville, CA 95661-4479

Phone

(916) 781-7878

Fax

(916) 782-5965

NPI assigned

Nov 4, 2011

Last updated

Nov 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Anthony Fink, DCNPI 1689741977

Title

Ceo

Phone

(916) 781-7878

Specialties & licenses 4

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard A Fink, DC, DABCO

  • Orthopedic Chiropractor
  • Roseville, CA
  • NPI 1689741977
  NPD (past) Authorized official
• Deanna Lynn Erickson, DC, DABCO

  • Orthopedic Chiropractor
  • Roseville, CA
  • NPI 1861569154
  NPD (past)

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1710264700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 CIRBY WAY STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614479",
            "telephone_number": "916-781-7878",
            "fax_number": "916-782-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 CIRBY WAY STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614479",
            "telephone_number": "916-781-7878",
            "fax_number": "916-782-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON CHIROPRACTIC CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "FINK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-781-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "DC 19684",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC 19684",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC 19684",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "DC 19684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Entheo Clinic, a Professional Medical Corporation
• Mary Louise Entrican, MS, LMFT
• Jessica Del Mundo Ercia, NP
• Erick N Cuenca, DMD, Inc (Brightnow Dental North Roseville)
• Erick N. Cuenca DMD Inc (Roseville Dental)
• Deanna Lynn Erickson, DC, DABCO
• Sarah Noelle Erickson, LPT
• Andrea Erlandsen, PHARMD, BCCCP
• Kristin Erlec, LMFT
• Shawn Ernoehazy, MFT

• Orthopedic Chiropractor in Roseville, CA
• Providers in Roseville, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.