Active NPI
Johnson Chiropractic & Sports Injury, PC
- Chiropractor
- Davenport, IA
National Provider Identifier
1124422712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006998
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.