Organization Active NPI

Johnson Chiropractic Health Center PLLC

  • Chiropractor
  • Lansing, MI
National Provider Identifier
1215077425
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301004170 Issued in MI
Legal business name
JOHNSON CHIROPRACTIC HEALTH CENTER PLLC
Practice address
5021 W St Joe Hwy
Lansing, MI 48917-4027
Phone
(517) 321-5243
Fax
(517) 321-8018
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Authorized official

Name
Dr. Kevin H. Johnson, DCNPI 1487794475
Title
Doctor of Chiropractic
Phone
(517) 321-5243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301004170 MI Primary

Addresses

Primary practice location

5021 W St Joe Hwy
Lansing, MI 48917-4027

Mailing address

5021 W St Joe Hwy Ste 6
Lansing, MI 48917-4027
Phone (517) 321-5243

Other names 1

  • Johnson Chiropractic Clinic Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200707000494 MI Part B Supplier - Clinic/Group Practice 7911320106 Receives reassigned benefits from 1 practitioner
Practice locations: Lansing, MI

National Provider Directory

National Provider Directory

Locations

5021 W St Joe Hwy
Lansing, MI 48917
Phone (517) 321-5243

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1215077425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 W ST JOE HWY STE 6",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174027",
            "telephone_number": "517-321-5243",
            "fax_number": "517-321-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174027",
            "telephone_number": "517-321-5243",
            "fax_number": "517-321-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC HEALTH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "517-321-5243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Chiropractic Clinic Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.