Organization Active NPI

Eryka L. Simonson, D.C., P.C.

  • Chiropractor
  • Klamath Falls, OR
National Provider Identifier
1750528055
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3474 Issued in OR
Legal business name
ERYKA L. SIMONSON, D.C., P.C.
Doing business as
Family Chiropractic And Wellness Center
Practice address
1903 Austin St Ste B
Klamath Falls, OR 97603-5404
Phone
(541) 850-8577
Fax
(541) 850-5821
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Dr. Eryka Lynn Simonson, D.C.NPI 1689718033
Title
President
Phone
(541) 850-8577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Other names 1

  • Family Chiropractic And Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000504 OR Part B Supplier - Clinic/Group Practice 6800953746 Receives reassigned benefits from 1 practitioner
Practice locations: Klamath Falls, OR

National Provider Directory

National Provider Directory

Locations

3255 Washburn Way
Ste 7
Klamath Falls, OR 97603
Phone (541) 850-8577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1750528055",
    "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": {
        "organization_name": "ERYKA L. SIMONSON, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "ERYKA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-850-8577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic And Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.