Organization Active NPI

Johnson Wellness Centers Inc

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1003090622
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B928 Issued in NV
Legal business name
JOHNSON WELLNESS CENTERS INC
Practice address
3085 E Russell Rd
Ste. E
Las Vegas, NV 89120-3473
Phone
(702) 433-8333
Fax
(702) 433-4632
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sarah Johnson, D.C.NPI 1093830358
Title
Owner
Phone
(702) 433-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X B928 NV Primary

Addresses

Primary practice location

3085 E Russell Rd
Ste. E
Las Vegas, NV 89120-3473

Mailing address

3085 E Russell Rd
Ste. E
Las Vegas, NV 89120-3473
Phone (702) 433-8333

Other names 1

  • Spine Wellness Center of Southern Nevada Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081030000636 NV Part B Supplier - Clinic/Group Practice 2264525146 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1003090622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E RUSSELL RD",
            "address_2": "STE. E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203473",
            "telephone_number": "702-433-8333",
            "fax_number": "702-433-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E RUSSELL RD",
            "address_2": "STE. E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203473",
            "telephone_number": "702-433-8333",
            "fax_number": "702-433-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON WELLNESS CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-433-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Wellness Center of Southern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.