Organization Active NPI

Eriksen Chiropractic, PSC

Doing business as Commonwealth Family Chiropractic

  • Chiropractor
  • Hodgenville, KY
National Provider Identifier
1801939335
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4336 Issued in KY
Legal business name
ERIKSEN CHIROPRACTIC, PSC
Doing business as
Commonwealth Family Chiropractic
Practice address
631 Tanner Rd
Hodgenville, KY 42748-9642
Phone
(270) 358-7070
Fax
(270) 358-4617
NPI assigned
Feb 15, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Paul W Eriksen, D.C.NPI 1790787869
Title
Sole Officer
Phone
(270) 358-7070

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
Chiropractor 111N00000X 4336 KY Primary

Addresses

Primary practice location

631 Tanner Rd
Hodgenville, KY 42748-9642

Mailing address

631 Tanner Rd
Hodgenville, KY 42748-9642
Phone (270) 358-7070

Other names 1

  • Commonwealth Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

631 Tanner Rd
Hodgenville, KY 42748
Phone (270) 358-7070

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1801939335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 TANNER RD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489642",
            "telephone_number": "270-358-7070",
            "fax_number": "270-358-4617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 TANNER RD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489642",
            "telephone_number": "270-358-7070",
            "fax_number": "270-358-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKSEN CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ERIKSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE OFFICER",
        "authorized_official_telephone_number": "270-358-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hodgenville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.