Individual provider Active NPI

Gregory Eugene Johnson, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1073739678
Registry record updated Jun 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
02810 Issued in TX
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC17722CAMDChiropractor
02810TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Eugene Johnson Chiropractor PastSince Sep 14, 2012 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.

Verify at the official NPI Registry.