Organization Active NPI

Justin Johnson LLC

  • Chiropractor
  • Malvern, PA
National Provider Identifier
1205238516
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010890 Issued in PA
Legal business name
JUSTIN JOHNSON LLC
Practice address
519 Lancaster Ave
Suite 2
Malvern, PA 19355-1843
Phone
(856) 315-2203
NPI assigned
Sep 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Justin Dale Johnson, DC
Title
Owner/Operator/Doctor
Phone
(856) 316-2203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC010890 PA Primary

Addresses

Primary practice location

519 Lancaster Ave
Suite 2
Malvern, PA 19355-1843

Mailing address

519 Lancaster Ave
Suite 2
Malvern, PA 19355-1843
Phone (856) 315-2203

Other names 1

  • Family Care Chiropractic and Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

519 Lancaster Ave
Ste 2
Malvern, PA 19355
Phone (610) 644-1191

12 Mystic Ln
Malvern, PA 19355
Phone (610) 644-1191

519 Lancaster Ave
Fl 2
Malvern, PA 19355
Phone (610) 644-1191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1205238516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LANCASTER AVE",
            "address_2": "SUITE 2",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551843",
            "telephone_number": "856-315-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LANCASTER AVE",
            "address_2": "SUITE 2",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551843",
            "telephone_number": "856-315-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/OPERATOR/DOCTOR",
        "authorized_official_telephone_number": "856-316-2203",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

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

Verify at the official NPI Registry.