Individual provider Active NPI

Erik Soren Bjerre, DC

  • Chiropractor
  • Providence, RI
National Provider Identifier
1932290921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00505 Issued in RI
Practice address
112 Douglas Ave
Suite 5
Providence, RI 02908-3257
Phone
(401) 421-7414
Fax
(401) 421-7415
NPI assigned
Sep 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00505 RI Primary

Addresses

Primary practice location

112 Douglas Ave
Suite 5
Providence, RI 02908-3257

Mailing address

112 Douglas Ave
Suite 5
Providence, RI 02908-3257
Phone (401) 421-7414

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

LicenseStateTypeSpecialty
DCP00505RIMDChiropractor
2786MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Decrescenzo Chiropractic, Inc. Chiropractor PastSince Jan 6, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932290921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DOUGLAS AVE",
            "address_2": "SUITE 5",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083257",
            "telephone_number": "401-421-7414",
            "fax_number": "401-421-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DOUGLAS AVE",
            "address_2": "SUITE 5",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029083257",
            "telephone_number": "401-421-7414",
            "fax_number": "401-421-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJERRE",
        "first_name": "ERIK",
        "middle_name": "SOREN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.