John Barnette Johnson III, MS DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038004583 Issued in IL

Practice address

2000 Larkin Avenue Suite 103
John B Johnson
Elgin, IL 60123

Phone

(847) 888-2112

Fax

(847) 888-0220

NPI assigned

Jul 12, 2006

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Michael D. Johnson, D.D.S.,P.C.

  • Dental Clinic/Center
  • Elgin, IL
  • NPI 1477801298
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1033144324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVENUE SUITE 103",
            "address_2": "JOHN B JOHNSON",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-888-2112",
            "fax_number": "847-888-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LARKIN AVENUE SUITE 103",
            "address_2": "JOHN B JOHNSON",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60123",
            "telephone_number": "847-888-2112",
            "fax_number": "847-888-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "BARNETTE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MS DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038004583",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "004582060",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jameel Aldwin O Joco, DPT
• Jodi M Fourt
• Ellen Patricia Johnson
• Geraldine Anne Johnson, RN
• Jennifer Johnson, MHP
• Matthew Joseph Johnson, D.P.M.
• Michael David Johnson, D.D.S.
• Oletha Johnson, NP
• Rotimi Johnson, MD
• Tatiana Johnson

• Chiropractor in Elgin, IL
• Providers in Elgin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.