Individual provider Active NPI

Austin W Erickson, D.C., B.A., B.S.

  • Chiropractor
  • Glenwood City, WI
National Provider Identifier
1952533598
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4506-012 Issued in WI
Practice address
107 East Oak Street
Glenwood City, WI 54013-0403
Phone
(715) 246-7500
NPI assigned
Aug 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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 4506-012 WI Primary

Addresses

Primary practice location

107 East Oak Street
Glenwood City, WI 54013-0403

Mailing address

PO Box 403
Glenwood City, WI 54013-0403
Phone (715) 246-7500

Other practice location 1

2863 S Prairie View Rd Ste 1
Chippewa Falls, WI 54729-3316
Phone (715) 720-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000675 WI Practitioner - Chiropractic 9830387893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 E Oak St
Glenwood City, WI 54013-0403
Phone (715) 246-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
4506-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Erickson Chiropractic LLC Chiropractor CurrentSince Jun 5, 2017 Accepting new patients
Oas Family Chiropractic, LLC Chiropractor PastSince Jun 1, 2005 Accepting new patients

Locations

107 E Oak St
Glenwood City, WI 54013
Phone (715) 246-7500

2134 Highway 64
New Richmond, WI 54017
Phone (715) 246-7500

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1952533598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540130403",
            "telephone_number": "715-246-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EAST OAK STREET",
            "city": "GLENWOOD CITY",
            "state": "WI",
            "postal_code": "540130403",
            "telephone_number": "715-246-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2863 S Prairie View Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547293316",
            "country_code": "US",
            "telephone_number": "715-720-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "AUSTIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C., B.A., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-16",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4506-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.