Individual provider Active NPI

Joel Elvin Johnson, D.C.

  • Chiropractor
  • Owasso, OK
National Provider Identifier
1194712646
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3999 Issued in OK
Practice address
13720 E 86TH St N
Suite 130
Owasso, OK 74055-8704
Phone
(918) 274-3888
Fax
(918) 274-3894
NPI assigned
Sep 30, 2005
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4100 KS
Chiropractor 111N00000X 3999 OK Primary

Addresses

Primary practice location

13720 E 86TH St N
Suite 130
Owasso, OK 74055-8704

Mailing address

13720 E 86TH St N
Suite 130
Owasso, OK 74055-8704
Phone (918) 274-3888

Other identifiers 3

IdentifierTypeStateIssuer
990005093OtherKSRAILROAD MEDICARE PROV #
4536OtherKSPREFERRED HEALTH SYSTEMS
60423OtherKSBCBS OF KS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000374 OK Practitioner - Chiropractic 3779615919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13720 E 86TH N St
Owasso, OK 74055-8735
Phone (918) 274-3888

13720 E 86TH St N
Suite 130
Owasso, OK 74055-8735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4100KSMDSocial Worker
3999OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Owasso Wellness PLLC Chiropractor CurrentSince Aug 8, 2011 Accepting new patients
Northside Family Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

13720 E 86th St N
Ste 130
Owasso, OK 74055
Phone (918) 274-3888

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1194712646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N",
            "address_2": "SUITE 130",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-274-3888",
            "fax_number": "918-274-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13720 E 86TH ST N",
            "address_2": "SUITE 130",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740558704",
            "telephone_number": "918-274-3888",
            "fax_number": "918-274-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOEL",
        "middle_name": "ELVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4100",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV #",
            "identifier": "990005093",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH SYSTEMS",
            "identifier": "4536",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS PROVIDER #",
            "identifier": "60423",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.