Individual provider Active NPI

Erica Abraham, DC

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1952931883
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0008168 Issued in CO
Practice address
4695 Ardley Dr
Colorado Springs, CO 80922-2140
Phone
(719) 358-9460
Fax
(719) 434-2319
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210602001578 CO Practitioner - Chiropractic 0345649935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL.2787094COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Axon Health PC Chiropractor CurrentSince Sep 28, 2020 Accepting new patients
Axon Chiropractic PLLC Chiropractor Current Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X EL.2787094 CO
Chiropractor 111N00000X CHR.0008168 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

4695 Ardley Dr
Colorado Springs, CO 80922-2140

Mailing address

4695 Ardley Dr
Colorado Springs, CO 80922-2140
Phone (719) 358-9460

Other practice location 1

4617 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2937
Phone (719) 266-6431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2021.

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1952931883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 ARDLEY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222140",
            "telephone_number": "719-358-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 ARDLEY DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222140",
            "telephone_number": "719-358-9460",
            "fax_number": "719-434-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809182937",
            "country_code": "US",
            "telephone_number": "719-266-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "EL.2787094",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.