Robert Lee Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3150 Issued in OK

Practice address

203 S Hominy Ave
Skiatook, OK 74070-3975

Phone

(918) 396-9000

Fax

(918) 396-0119

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Skiatook Medical LLC

  • Chiropractor
  • Skiatook, OK
  • NPI 1881887214
  Medicare reassignment NPD Authorized official
• Goodspine PLC

  dba Jake W. Landreth, DC

  • Clinic/Center
  • Collinsville, OK
  • NPI 1124308952
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114006657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S HOMINY AVE",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740703975",
            "telephone_number": "918-396-9000",
            "fax_number": "918-396-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S HOMINY AVE",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740703975",
            "telephone_number": "918-396-9000",
            "fax_number": "918-396-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Firewolf Thompson Jeffries, MASTER DEGREE IN S.W
• Amanda Jesse
• John Henry Thomason (Johns Drug Store)
• Marsha A Johnson
• Neva Johnson
• Amanda Margaret Jones
• Kendall Healthmart Inc. (Kendall Drug)
• Tami Kiefer
• Lakeside Chiropractic, PLLC
• Audry Lane, OTR/L

• Chiropractor in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.