Clyde Francis Johnson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHR6922 Issued in CO

Practice address

7940 S University Blvd
Ste 100
Centennial, CO 80122-5104

Phone

(303) 927-6181

NPI assigned

Nov 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1063766723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 S WILLOW DR",
            "address_2": "STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115170",
            "telephone_number": "720-515-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 S UNIVERSITY BLVD",
            "address_2": "STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801225104",
            "telephone_number": "303-927-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CLYDE",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CO",
            "license": "CHR6922",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Xiumei Johann
• Gina Marie Johannesman, M.P.T.
• John L Schachet OD PC
• John M Hiner, MD, PLLC
• Carole Margaret Johnson, OTR
• Kristie Johnson, D.P.T.
• Lauren Elizabeth Johnson, AU.D.
• Maria S Johnson, D.M.D
• Matthew Johnson, LMFT
• Maylene April Johnson, M.A.

• Sports Physician Chiropractor in Centennial, CO
• Providers in Centennial, CO by specialty
• Sports Physician Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.