Will John Johnson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1277 Issued in SD

Practice address

1001 Meade St
Whitewood, SD 57793-3054

Phone

(605) 717-2428

Fax

(605) 717-2491

NPI assigned

Dec 4, 2015

Last updated

Jan 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whitewood Creek Chiropractic PCGroup PAC ID 7810291010, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Whitewood Creek Chiropractic PC

  • Chiropractor
  • Whitewood, SD
  • NPI 1831564608
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1225403033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEADE ST",
            "city": "WHITEWOOD",
            "state": "SD",
            "postal_code": "577933054",
            "telephone_number": "605-717-2428",
            "fax_number": "605-717-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEADE ST",
            "city": "WHITEWOOD",
            "state": "SD",
            "postal_code": "577933054",
            "telephone_number": "605-717-2428",
            "fax_number": "605-717-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILL",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castle Retirement Home Inc
• Kylee Ann Johnson, DC
• Whitewood Creek Chiropractic PC

• Chiropractor in Whitewood, SD
• Providers in Whitewood, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.