Neil Louis Erickson, DC DABCO CCSP

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

83-169476-1202 Issued in UT

Practice address

169 N Gateway Dr Ste 223
Providence, UT 84332-9856

Phone

(435) 752-2772

Fax

(435) 752-2878

NPI assigned

Jun 22, 2006

Last updated

May 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cache Valley Chiropractic Clinic LLC

  • Orthopedic Chiropractor
  • Providence, UT
  • NPI 1902943863
  Authorized official Same address or phone
• Sierra Chiropractic, PLLC

  dba Cache Valley Chiropractic

  • Chiropractor
  • Providence, UT
  • NPI 1689322992
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1801832241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 223",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329856",
            "telephone_number": "435-752-2772",
            "fax_number": "435-752-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N GATEWAY DR STE 223",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329856",
            "telephone_number": "435-752-2772",
            "fax_number": "435-752-2878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 West Golf Course Road",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843215402",
            "country_code": "US",
            "telephone_number": "435-752-2772",
            "fax_number": "435-752-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "NEIL",
        "middle_name": "LOUIS",
        "credential": "DC  DABCO  CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "UT",
            "license": "83-169476-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Durrant, NNP
• Nicholas Dushku, M.D.
• Amanda Dustin
• Spencer Dutson, LMFT
• Anthony J Dye, M.D.
• Bethany Ewell, RBT
• Daniel Griffin Fast
• Amy Fisher, PA-C
• Laura Burgher Fisher, MD
• Mylee Brooke Fox

• Orthopedic Chiropractor in Providence, UT
• Providers in Providence, UT by specialty
• Orthopedic Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.