NPIMap

Organization Active NPI

Johnson Chiropractic & Acupuncture

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1225450042
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
602 Issued in SD
Legal business name
JOHNSON CHIROPRACTIC & ACUPUNCTURE
Practice address
4627 W Homefield Dr
Sioux Falls, SD 57106-3511
Phone
(160) 533-6201
Fax
(160) 533-6024
NPI assigned
Jan 14, 2014
Last updated
Jan 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Authorized official

Name
Dr. Bruce Edward Johnson, D.C.NPI 1316927288
Title
Owner
Phone
(605) 336-2010

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 602 SD Primary
Chiropractor 111N00000X 1070 SD

Addresses

Primary practice location

4627 W Homefield Dr
Sioux Falls, SD 57106-3511

Mailing address

4627 W Homefield Dr
Sioux Falls, SD 57106-3511
Phone (160) 533-6201

Other identifiers 2

IdentifierTypeStateIssuer
7600882MedicaidSD
7604450MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Johnson Chiropractic Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1225450042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4627 W HOMEFIELD DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063511",
            "telephone_number": "160-533-6201",
            "fax_number": "160-533-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4627 W HOMEFIELD DR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063511",
            "telephone_number": "160-533-6201",
            "fax_number": "160-533-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC & ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "16053362010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "602",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600882",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604450",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.