NPIMap

Organization Active NPI

Johnson Chiropractic

  • Chiropractor
  • Memphis, TN
National Provider Identifier
1063812949
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1317 Issued in TN
Legal business name
JOHNSON CHIROPRACTIC
Practice address
5695 Quince Rd
Memphis, TN 38119-7017
Phone
(901) 767-6727
Fax
(901) 767-5460
NPI assigned
Aug 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Martha Manso
Title
Office Manager
Phone
(901) 767-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC1317 TN Primary

Addresses

Primary practice location

5695 Quince Rd
Memphis, TN 38119-7017

Mailing address

5695 Quince Rd
Memphis, TN 38119-7017
Phone (901) 767-6727

Other identifiers 1

IdentifierTypeStateIssuer
3678666MedicaidTN

National Provider Directory

National Provider Directory

Locations

5695 Quince Rd
Memphis, TN 38119
Phone (901) 767-6727

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1063812949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197017",
            "telephone_number": "901-767-6727",
            "fax_number": "901-767-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197017",
            "telephone_number": "901-767-6727",
            "fax_number": "901-767-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "MANSO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-767-6727"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3678666",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.