John Brock Johansen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8360 Issued in AZ

Practice address

5425 E Bell Rd Ste 150
Scottsdale, AZ 85254-6010

Phone

(602) 493-9800

NPI assigned

Jun 17, 2014

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)

Enrolled

State licenses

Practice roles

Locations

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.

• North Phoenix Wellness Way LLC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1174304521
  NPD

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1023422193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34406 N 27TH DR STE 139",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857733",
            "telephone_number": "623-440-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 E BELL RD STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546010",
            "telephone_number": "602-493-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "JOHN",
        "middle_name": "BROCK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodie Howe LLC
• Kimberley Dianne Joe, LPC
• Joel B Glassman PC
• Joel P. Mascaro, D.O., P.C.
• Melissa A Joens, OTR/L
• Jordan Johansen, LMSW
• Estella Chantel Johansson, MSN RN
• John a. Nassar, M.D., P.C.
• John C Lincoln, LLC
• John J. Bolte B.S.,D.C.,F.I.a.C.a.,P.C.

• Chiropractor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.