Active NPI
Gregory Eugene Johnson, D.C.
- Chiropractor
- Houston, TX
National Provider Identifier
1073739678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 02810
- Practice address
- 363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060-2404 - Phone
- (281) 405-2611
- NPI assigned
- Apr 18, 2007
- Last updated
- Jun 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 02810 | TX | Primary |
| Chiropractor | 111N00000X | DC17722 | CA |
Addresses
Primary practice location
363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060-2404
Mailing address
363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060-2404
Phone (281) 405-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17722 | CA | MD | Chiropractor |
| 02810 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gregory Eugene Johnson | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338681600000",
"number": "1073739678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 N SAM HOUSTON PKWY E",
"address_2": "STE 1100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602404",
"telephone_number": "281-405-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 N SAM HOUSTON PKWY E",
"address_2": "STE 1100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770602404",
"telephone_number": "281-405-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GREGORY",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2012-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "02810",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.