Kyle Leif Eriksen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2699 Issued in AL

Practice address

3850 W Main St Ste 804
Dothan, AL 36305-1071

Phone

(334) 699-6010

Fax

(334) 699-6012

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By 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)

Enrolled

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.

• Vitality Chiropractic

  • Chiropractor
  • Dothan, AL
  • NPI 1588322002
  NPD Authorized official

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1922763374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 FLOWERS CHAPEL RD APT T140",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363055324",
            "telephone_number": "334-648-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 W MAIN ST STE 804",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051071",
            "telephone_number": "334-699-6010",
            "fax_number": "334-699-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIKSEN",
        "first_name": "KYLE",
        "middle_name": "LEIF",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ENT South, PC
• Jordan Entrekin, DPT
• Stephanie Epding
• Kamren Lei Eriksen, MS, RDN, LDN
• Kirk Eriksen, DC
• Tonya Ernsberger, CRNP
• Robert Craig Espy, CRNP
• Brittany Morgan Estell, MD
• Mason Estes
• Kara Etheredge, MA, BCBA

• Chiropractor in Dothan, AL
• Providers in Dothan, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.