Charles Johnson Jr.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

114397 Issued in TX

Practice address

6675 Mediterranean Dr Ste 406
McKinney, TX 75072-5623

Phone

(504) 346-0485

NPI assigned

Aug 20, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1073289872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR STE 406",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725623",
            "telephone_number": "504-607-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR STE 406",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725623",
            "telephone_number": "504-346-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "114397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Devore
• Johnny Grinspan DDS PA
• Adria Johnson
• Bhakti Johnson, MA, BCBA
• Carly Johnson, LMSW
• Gerald Jerard Johnson, M.D.
• Jershayla Che'Re Johnson, BCBA
• Jill Ann Johnson
• Lori Johnson, MS, SLP/CCC
• Maggie Johnson, BCBA

• Massage Therapist in McKinney, TX
• Providers in McKinney, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.