Organization Active NPI

Johnson Chiropractic Clinic PLLC

  • Chiropractor
  • Parkersburg, WV
National Provider Identifier
1083814065
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
595 Issued in WV
Legal business name
JOHNSON CHIROPRACTIC CLINIC PLLC
Practice address
706 Division St
Parkersburg, WV 26101-5658
Phone
(304) 422-1191
Fax
(304) 428-5488
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
William Z Johnson II, DCNPI 1568469492
Title
Owner
Phone
(304) 422-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 595 WV Primary

Addresses

Primary practice location

706 Division St
Parkersburg, WV 26101-5658

Mailing address

706 Division St
Parkersburg, WV 26101-5658
Phone (304) 422-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000237 WV Part B Supplier - Clinic/Group Practice 5799730180 Receives reassigned benefits from 1 practitioner
Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory

Locations

706 Division St
Parkersburg, WV 26101
Phone (304) 422-1191

Practitioners & affiliated clinicians

Practitioners 1

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": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1083814065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 DIVISION ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015658",
            "telephone_number": "304-422-1191",
            "fax_number": "304-428-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 DIVISION ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015658",
            "telephone_number": "304-422-1191",
            "fax_number": "304-428-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-422-1191",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.