Individual provider Active NPI

Sarah Elizabeth Johnson, DC

  • Chiropractor
  • Las Vegas, NV
National Provider Identifier
1093830358
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NVB928 Issued in NV
Practice address
3085 E Russell Rd
Ste E
Las Vegas, NV 89120-3473
Phone
(702) 433-8333
Fax
(702) 433-4632
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NVB928 NV Primary

Addresses

Primary practice location

3085 E Russell Rd
Ste E
Las Vegas, NV 89120-3473

Mailing address

3085 E Russell Rd
Ste E
Las Vegas, NV 89120-3473
Phone (702) 433-8333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000621 NV Practitioner - Chiropractic 4486713856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Johnson Wellness Centers IncGroup PAC ID 2264525146, 2 clinicians

Practice addresses (Care Compare)

3085 E Russell Rd
Suite E
Las Vegas, NV 89120-3482
Phone (702) 433-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NVB928NVMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Wellness Centers Inc Chiropractor CurrentSince Feb 27, 2007 Accepting new patients

Locations

3085 E Russell Rd
Ste E
Las Vegas, NV 89120
Phone (702) 433-8333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1093830358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E RUSSELL RD",
            "address_2": "STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203473",
            "telephone_number": "702-433-8333",
            "fax_number": "702-433-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 E RUSSELL RD",
            "address_2": "STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203473",
            "telephone_number": "702-433-8333",
            "fax_number": "702-433-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "NVB928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.