NPIMap

Individual provider Active NPI

Brian W Johnson, DC

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1003912478
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1602 Issued in OH
Practice address
8880 Colerian Ave
Cincinnati, OH 45251
Phone
(513) 245-9100
Fax
(513) 245-2696
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1602 OH Primary
Chiropractor 111N00000X 4110 KY

Addresses

Primary practice location

8880 Colerian Ave
Cincinnati, OH 45251

Mailing address

8880 Colerian Ave
Cinti, OH 45251
Phone (513) 245-9100

Other identifiers 1

IdentifierTypeStateIssuer
000000336270OtherANTHEM BCBS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Wise Integrated Health Care Inc PastSince Jan 2, 2014 Accepting new patients
Hamilton Lindenwald Total Health Center Inc PastSince Apr 1, 2014 Accepting new patients
BJ Chiropractic Center Inc Chiropractor Past Accepting new patients
Urgency Integrated Care Solutions Inc PastSince Mar 1, 2014 Accepting new patients
Middletown Complete Health Center Inc PastSince Apr 30, 2014 Accepting new patients
East Total Health Center Inc PastSince May 12, 2014 Accepting new patients
BJ Chiropractic Center Inc Chiropractor Past Accepting new patients
Middletown Chiropractic and Rehabilitation Center Chiropractor PastSince Nov 1, 2013 Accepting new patients
Turfway Dixie Chiropractic Center PSC Chiropractor Past Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003912478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 COLERIAN AVE",
            "city": "CINTI",
            "state": "OH",
            "postal_code": "45251",
            "telephone_number": "513-245-9100",
            "fax_number": "513-245-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 COLERIAN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45251",
            "telephone_number": "513-245-9100",
            "fax_number": "513-245-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1602",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4110",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000336270",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

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.

Verify at the official NPI Registry.