Organization Active NPI

Johnson Chiropractic & Sports Injury, PC

  • Chiropractor
  • Davenport, IA
National Provider Identifier
1124422712
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006998 Issued in IA
Legal business name
JOHNSON CHIROPRACTIC & SPORTS INJURY, PC
Practice address
3127 Brady St Ste 4
Davenport, IA 52803-1233
Phone
(563) 323-2385
Fax
(563) 323-3285
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Dr. Tyler Craig Johnson, DC
Title
Owner
Phone
(563) 323-2385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 006998 IA Primary

Addresses

Primary practice location

3127 Brady St Ste 4
Davenport, IA 52803-1233

Mailing address

3127 Brady St Ste 4
Davenport, IA 52803-1233
Phone (563) 323-2385

National Provider Directory

National Provider Directory

Locations

3127 Brady St
Ste 4
Davenport, IA 52803
Phone (563) 323-2385

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1124422712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 BRADY ST STE 4",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031233",
            "telephone_number": "563-323-2385",
            "fax_number": "563-323-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 BRADY ST STE 4",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031233",
            "telephone_number": "563-323-2385",
            "fax_number": "563-323-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC & SPORTS INJURY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-323-2385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "006998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.