Organization Active NPI

Johnson & Johnson Chiropractic, Inc.

  • Chiropractor
  • Lebanon, IN
National Provider Identifier
1235542382
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002779A Issued in IN
Legal business name
JOHNSON & JOHNSON CHIROPRACTIC, INC.
Practice address
610 N Lebanon St
Lebanon, IN 46052-1716
Phone
(765) 482-8181
Fax
(765) 482-8183
NPI assigned
Jun 6, 2014
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Dr. Joshua Edward Johnson, D.C.NPI 1114330016
Title
President
Phone
(765) 482-8181

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 08002779A IN Primary

Addresses

Primary practice location

610 N Lebanon St
Lebanon, IN 46052-1716

Mailing address

610 N Lebanon St
Lebanon, IN 46052-1716
Phone (765) 482-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140808000024 IN Part B Supplier - Clinic/Group Practice 9537386933 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, IN

National Provider Directory

National Provider Directory
Tax ID family
Johnson Johnson Chiropractic Inc2 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 1

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": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1235542382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716",
            "telephone_number": "765-482-8181",
            "fax_number": "765-482-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521716",
            "telephone_number": "765-482-8181",
            "fax_number": "765-482-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & JOHNSON CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-482-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.