Active NPI
Johnson Chiropractic Inc
- Clinic/Center
- Independence, KS
National Provider Identifier
1154553006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- C-3510
- Legal business name
- JOHNSON CHIROPRACTIC INC
- Doing business as
- Johnson Chiropractic and Acupuncture
- Practice address
- 311 E Main St
Independence, KS 67301-3713 - Phone
- (620) 331-0601
- NPI assigned
- Aug 11, 2009
- 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. Gary M Johnson, D.C.
- Title
- Chief Executive
- Phone
- (620) 331-0601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | C-3510 | KS | Primary |
Addresses
Primary practice location
311 E Main St
Independence, KS 67301-3713
Mailing address
311 E Main St
Independence, KS 67301-3713
Phone (620) 331-0601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005464 | Other | KS | BLUE CROSS BLUE SHIELD |
Other names 1
- Johnson Chiropractic and Acupuncture
National Provider Directory
National Provider DirectoryLocations
311 E Main St
Independence, KS 67301
Phone (620) 331-0601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Independence, KS
- NPI 1083855977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249948800000",
"number": "1154553006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E MAIN ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673013713",
"telephone_number": "620-331-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MAIN ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673013713",
"telephone_number": "620-331-0601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON CHIROPRACTIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-11",
"last_updated": "2009-08-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF EXECUTIVE",
"authorized_official_telephone_number": "620-331-0601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "KS",
"license": "C-3510",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "005464",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Johnson Chiropractic and Acupuncture",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Independence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.