Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295978187 Deactivated / Inactive NPI Male Practitioner

Dr. Jake Dale Erickson , DC

Chiropractor • Boise, ID

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jake Erickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 08, 2009
NPI Deactivation Date February 08, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jake Erickson, DC was a registered Chiropractor practicing in Boise, ID. Throughout an active medical career spanning 14 years, Dr. Erickson provided care at the practice location at 10451 W GARVERDALE CT until profile deactivation on 2023-02-08.

Practice Location & Contact Primary Location

Practice Address

10451 W Garverdale Ct

Boise, ID 837045408

Telephone 6059291130
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
172 Specialists

Practicing in Boise, ID (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ID CHIA1363

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1982792735

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 08, 2023

Record deactivated on February 08, 2023

NPI Profile Active April 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2009

Registered at 10451 W GARVERDALE CT, BOISE, ID 837045408 (Tel: 6059291130)

📍
Updated Business Mailing Address April 08, 2009

Registered at 10451 W GARVERDALE CT, BOISE, ID 837045408

👤
Provider Name / Credentials Updated April 08, 2009

Recorded as JAKE ERICKSON, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2009

Chiropractor (License #CHIA1363 in ID)

🟢
Initial NPI Registration & Enumeration April 08, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jake Erickson. Be the first to share your experience!

Sign in to leave a review for Dr. Jake Erickson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1295978187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2009
Last Update: April 08, 2009
Deactivation Date: February 08, 2023

Mailing Address

10451 W Garverdale Ct

Boise, ID 837045408

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.