Active NPI
Michael D Erickson, DC
- Chiropractor
- Saukville, WI
National Provider Identifier
1770722720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4482-12
- Practice address
- 902 S Main St Ste 201
Saukville, WI 53080-2118 - Phone
- (262) 268-0606
- NPI assigned
- Feb 16, 2009
- 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 | 4482-12 | WI | Primary |
Addresses
Primary practice location
902 S Main St Ste 201
Saukville, WI 53080-2118
Mailing address
5983 S Oak Rd
West Bend, WI 53095-7814
Phone (262) 623-7523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4482-12 | WI | MD | Chiropractor |
| 4482 | WI | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1770722720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5983 S OAK RD",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530957814",
"telephone_number": "262-623-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S MAIN ST STE 201",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530802118",
"telephone_number": "262-268-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERICKSON",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-16",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4482-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saukville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.