Jerri Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9275 Issued in TX

Practice address

5801 M D Love Fwy
Suite 305
Dallas, TX 75237-2318

Phone

(214) 330-9596

Fax

(214) 330-9588

NPI assigned

Jan 7, 2008

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1063697209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 M D LOVE FWY",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372318",
            "telephone_number": "214-330-9596",
            "fax_number": "214-330-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 M D LOVE FWY",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372318",
            "telephone_number": "214-330-9596",
            "fax_number": "214-330-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERRI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "608021",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Latrice Johnson
• Jasmine Renee Johnson
• Jason Johnson, LCDC
• Jeanne Nicole Johnson, LPC
• Jeffrey G Johnson, D.D.S., M.S.
• Jimmy Dale Johnson, DO
• Jonathan Johnson
• Joy Ann Johnson, COTA
• Juanita F. Johnson, WHCNP
• Judith Johnson

• Chiropractor in Dallas, TX
• Providers in Dallas, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.