Benjamin D Johnson, Chiropractic, Inc

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DC15470 Issued in CA

Legal business name

BENJAMIN D JOHNSON, CHIROPRACTIC, INC

Doing business as

Alosta Chiropractic Office

Practice address

849 E Route 66
Glendora, CA 91740-3603

Phone

(626) 335-4597

Fax

(626) 963-9511

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Dean Johnson, D.C.NPI 1215962444

Title

Owner/Ceo

Phone

(626) 335-4597

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alosta Chiropractic Office Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Dean Johnson, D.C.

  • Orthopedic Chiropractor
  • Glendora, CA
  • NPI 1215962444
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1114198090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1619",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917401619",
            "telephone_number": "626-335-4597",
            "fax_number": "626-963-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403603",
            "telephone_number": "626-335-4597",
            "fax_number": "626-963-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN D JOHNSON, CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-335-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "DC15470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7906627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alosta Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Chiropractor in Glendora, CA
• Providers in Glendora, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.