Active NPI
Johnny Lee Wakefield, D.C.
- Chiropractor
- Spring, TX
National Provider Identifier
1003018284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6399
- Practice address
- 26603 I-45 North
Spring, TX 77380 - Phone
- (281) 367-6900
- NPI assigned
- Jun 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6399 | TX | Primary |
Addresses
Primary practice location
26603 I-45 North
Spring, TX 77380
Mailing address
26603 I-45 North
Spring, TX 77380
Phone (281) 367-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63999 | Other | TX | DC LICENSE |
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 |
|---|---|---|---|
| 6399 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Medical Associates of Texas, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- The Woodlands, TX
- NPI 1174617021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003018284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26603 I-45 NORTH",
"city": "SPRING",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-367-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26603 I-45 NORTH",
"city": "SPRING",
"state": "TX",
"postal_code": "77380",
"telephone_number": "281-367-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEFIELD",
"first_name": "JOHNNY",
"middle_name": "LEE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "63999",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
- Karen Wade, MT-BC
- Tamaria S Wade, M.ED, CSC, LPC
- Irfan I Wadiwala, D.O.
- Debra Wagner, PMHNP-BC
- Elizabeth Wagner, OT
- Karen Alyse Wakefield, LPC
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0849)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-5353)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-3585)
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0602)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.