Individual provider Active NPI

Erik William Johnson, D.C.

  • Chiropractor
  • Cicero, NY
National Provider Identifier
1932546207
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010089 Issued in MI
Practice address
8212 Brewerton Rd
Cicero, NY 13039-6403
Phone
(315) 699-1441
Fax
(315) 699-2596
NPI assigned
May 28, 2013
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010089 MI Primary

Addresses

Primary practice location

8212 Brewerton Rd
Cicero, NY 13039-6403

Mailing address

PO Box 1890
Cicero, NY 13039-1890
Phone (616) 455-7040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000663 MI Practitioner - Chiropractic 7618111584
I20240909002947 NY Practitioner - Chiropractic 7618111584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8212 Brewerton Rd
Cicero, NY 13039-6403
Phone (315) 699-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010089MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Chiropractic Health Services Chiropractor Current Accepting new patients
Borio Chiropractic Health PC Chiropractor CurrentSince Oct 1, 2024 Accepting new patients
Johnson Chiropractic Health Services PC Chiropractor CurrentSince Oct 12, 2024 Accepting new patients
Quest Health Systems IV, PLLC Chiropractor Past Accepting new patients
Elevated Health and Performance Chiropractic Center PLLC Chiropractor PastSince Aug 20, 2012 Accepting new patients

Organizations & group practices 6

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1932546207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130391890",
            "telephone_number": "616-455-7040",
            "fax_number": "616-455-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 BREWERTON RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130396403",
            "telephone_number": "315-699-1441",
            "fax_number": "315-699-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.