Individual provider Active NPI

Joshua Edward Johnson, D.C.

  • Chiropractor
  • Lebanon, IN
National Provider Identifier
1114330016
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002779A Issued in IN
Practice address
1111 N Lebanon St
Lebanon, IN 46052-1760
Phone
(765) 482-8181
Fax
(765) 482-8183
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002779A IN Primary

Addresses

Primary practice location

1111 N Lebanon St
Lebanon, IN 46052-1760

Mailing address

1111 N Lebanon St
Lebanon, IN 46052-1760
Phone (765) 482-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807002280 IN Practitioner - Chiropractic 8921225319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 N Lebanon St
Lebanon, IN 46052-1760
Phone (765) 482-8183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson & Johnson Chiropractic, Inc. Chiropractor Current Accepting new patients
Johnson & Johnson Chiropractic, Inc. Chiropractor CurrentSince Jun 10, 2014 Accepting new patients

Locations

610 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-8181

1111 N Lebanon St
Lebanon, IN 46052
Phone (765) 482-2066

Organizations & group practices 2

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1114330016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521760",
            "telephone_number": "765-482-8181",
            "fax_number": "765-482-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521760",
            "telephone_number": "765-482-8181",
            "fax_number": "765-482-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOSHUA",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.