Robert Max Johnson Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

721 Issued in ID

Practice address

1942 Addison Ave E # 2
Twin Falls, ID 83301-5304

Phone

(208) 734-8680

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013097708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833030565",
            "telephone_number": "208-734-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 ADDISON AVE E # 2",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015304",
            "telephone_number": "208-734-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalen Johnson, RN, IBCLC
• Mayben Cole Johnson, DO
• Michael Scott Johnson, C.P.O
• Paul Johnson, DMD
• Rhonda Michelle Johnson, LMSW
• Samantha Wynn Johnson, NP
• Sara L Johnson, MD
• Sarah Johnson, AUD
• Allison Johnston, DPT
• Jaclyn Johnson Jolley, PA

• Chiropractor in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Chiropractor in Idaho

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.