Individual provider Active NPI

Dallas Johnston, DC

  • Chiropractor
  • Pflugerville, TX
National Provider Identifier
1124557764
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13405 Issued in TX
Practice address
16051 Dessau Rd
Pflugerville, TX 78660-5825
Phone
(512) 646-4160
Fax
(512) 646-4162
NPI assigned
Jun 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13405 TX Primary

Addresses

Primary practice location

16051 Dessau Rd
Pflugerville, TX 78660-5825

Mailing address

16051 Dessau Rd
Pflugerville, TX 78660-5825
Phone (512) 646-4160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629002086 TX Practitioner - Chiropractic 4183993488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isdale Chiropractic ClinicGroup PAC ID 1052201688, 3 clinicians

Practice addresses (Care Compare)

1201 Winkler Ave
Killeen, TX 76542-6108
Phone (254) 699-4004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13405TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Isdale Chiropractic Clinic Chiropractor CurrentSince Mar 1, 2018 Accepting new patients

Locations

1201 Winkler Ave
Killeen, TX 76542
Phone (254) 699-4004

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124557764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16051 DESSAU RD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605825",
            "telephone_number": "512-646-4160",
            "fax_number": "512-646-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16051 DESSAU RD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605825",
            "telephone_number": "512-646-4160",
            "fax_number": "512-646-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.