Gary P Johnson PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

GJ005252 Issued in MI

Legal business name

GARY P JOHNSON PC

Doing business as

Johnson Chiropractic Center

Practice address

47197 Van Dyke Ave
Shelby Township, MI 48317-3359

Phone

(586) 254-2995

Fax

(586) 254-4572

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gary P Johnson, DCNPI 1215056965

Title

President

Phone

(586) 254-2995

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Patrick Johnson, DC

  • Chiropractor
  • Shelby Township, MI
  • NPI 1215056965
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1043541261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47197 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173359",
            "telephone_number": "586-254-2995",
            "fax_number": "586-254-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47197 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173359",
            "telephone_number": "586-254-2995",
            "fax_number": "586-254-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY P JOHNSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-254-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "GJ005252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "950E050970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fahima Gammo
• Saurabh Gandhi, D.O.
• Travis Gannon
• Joseph Michael Gargagliano, PTA
• Gary J. Fusciardi, PHD PC
• Bella Gates
• Catherine Lynn Gavan, PA-C
• Tyler David Gawlik
• Ronald D Geb, DDS
• Mirsida Gega

• Chiropractor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.