Organization Active NPI

New Lenox Chiropractic Center LTD

  • Chiropractor
  • New Lenox, IL
National Provider Identifier
1053455972
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEW LENOX CHIROPRACTIC CENTER LTD
Practice address
352 W Maple St
B
New Lenox, IL 60451-2953
Phone
(815) 485-9191
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dana W Johnson, DC
Title
Ownerpresident
Phone
(815) 485-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

352 W Maple St
B
New Lenox, IL 60451-2953

Mailing address

352 W Maple St
B
New Lenox, IL 60451-2953

National Provider Directory

National Provider Directory

Locations

352 W Maple St
New Lenox, IL 60451
Phone (815) 485-6533

352 W Maple St
Ste B
New Lenox, IL 60451
Phone (815) 485-9191

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053455972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 W MAPLE ST",
            "address_2": "B",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 W MAPLE ST",
            "address_2": "B",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512953",
            "telephone_number": "815-485-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LENOX CHIROPRACTIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "815-485-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

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