Madison Mae Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

106741 Issued in IA

Practice address

60 SE Laurel St
Waukee, IA 50263-8299

Phone

(515) 348-4325

Fax

(515) 346-8383

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Key Potential Chiropractic LLCGroup PAC ID 6002185915, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (1 of 3)

Locations

Networks

• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

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.

• Key Potential Chiropractic LLC

  • Chiropractor
  • Waukee, IA
  • NPI 1205364585
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1003408634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SE LAUREL ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638299",
            "telephone_number": "515-348-4325",
            "fax_number": "515-346-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SE LAUREL ST",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638299",
            "telephone_number": "515-348-4325",
            "fax_number": "515-346-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADISON",
        "middle_name": "MAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-12-19",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "106741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iowa Physicians Clinic Medical Foundation
• Ivory Lotus Therapy
• Lorrie Jagiello, RPH
• Jana Poock DPM PC
• Emma Johnson, T-LMHC, IADC
• Mary A Johnson, SLP
• Shawna Johnson
• Taylor Jo Johnson, DO
• Kawanda Patrice Jones, RN
• Taylor Kells, PA-C

• Chiropractor in Waukee, IA
• Providers in Waukee, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.