Johnston Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11453 Issued in CA

Legal business name

JOHNSTON CHIROPRACTIC CLINIC, INC.

Practice address

1150 Grove St
San Luis Obispo, CA 93401-2914

Phone

(805) 541-2727

Fax

(805) 541-2729

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

R. Marc Johnston, D.C., Q.M.E.

Title

Chiropractor

Phone

(805) 541-2727

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1164458469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GROVE ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012914",
            "telephone_number": "805-541-2727",
            "fax_number": "805-541-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GROVE ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012914",
            "telephone_number": "805-541-2727",
            "fax_number": "805-541-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "R. MARC",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "805-541-2727",
        "authorized_official_credential": "D.C., Q.M.E."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "11453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INS. INDIVIDUAL #",
            "identifier": "DC11453",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INS. INDIVIDUAL #",
            "identifier": "WDC11453A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD GROUP",
            "identifier": "ZZZ86105Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Johnson
• Robert P Johnson, PHD
• Robert Ryn Johnson, M.D.
• Steven C Johnson, MD
• Tracey Johnson
• Jody Johnston, ACSW
• Liz B Johnston, LCSW
• Raymond Marc Johnston, D.C, Q.M.E.
• Tyler Johnston
• Kim Marie Jolicoeur

• Chiropractor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.