Active NPI
Eric L. Eckdahl, D.C.
- Chiropractor
- Edwards, CO
National Provider Identifier
1992836845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3992
- Practice address
- 34295 US Hwy 6
Unit C-6
Edwards, CO 81632-1967 - Phone
- (970) 926-9222
- Fax
- (970) 926-9223
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 3992 | CO | |
| Chiropractor | 111N00000X | 3992 | CO | Primary |
Addresses
Primary practice location
34295 US Hwy 6
Unit C-6
Edwards, CO 81632-1967
Mailing address
PO Box 1967
Edwards, CO 81632-1967
Phone (970) 926-9222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3992 | Other | CO | COLO STATE LICENSE ECKDAH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3992 | CO | MD | Educational Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1992836845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1967",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816321967",
"telephone_number": "970-926-9222",
"fax_number": "970-926-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34295 US HWY 6",
"address_2": "UNIT C-6",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816321967",
"telephone_number": "970-926-9222",
"fax_number": "970-926-9223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKDAHL",
"first_name": "ERIC",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CO",
"license": "3992",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "3992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLO STATE LICENSE ECKDAH",
"identifier": "3992",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
- Eagle Valley Mental Health
- Eagle Valley Mental Health
- Eagle Valley Mental Health
- Eagle Valley Mental Health
- East West Optical Ventures LLC
- Carrie Lee Eckenhoff, PT
- Edwards Chiropractic and Acupuncture Center LLC
- Edwards Medical Provider Group
- Endovascular Consultants of Colorado PC
- Heidi Anna Escobar, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.