Kyle Johnston, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4827 Issued in SC

Practice address

3195 Leaphart Rd
West Columbia, SC 29169-3001

Phone

(803) 834-3000

NPI assigned

May 12, 2020

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 SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Roots Chiropractic, LLCGroup PAC ID 1254701907, 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 and National Provider Directory roles.

• Healthy Roots Chiropractic, LLC

  • Chiropractor
  • West Columbia, SC
  • NPI 1215665252
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1235751371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 EDERBACH DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290739810",
            "telephone_number": "740-475-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 LEAPHART RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693001",
            "telephone_number": "803-834-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KYLE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-12",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Johnson, CRNA, MSN
• Lashonda Johnson
• Melvin Johnson, MD
• Tiffany Deanna Johnson, LPC
• Tracy L. Johnson, ED.D. CCC-SLP
• Allyson I Jones, M.D.
• Charles Cabell Jones, MD
• Clayton Lee Jones, PHARMD
• Crystal Newkirk Jones, LCSW, LISW-CP
• Donna Davis Jones, M. ED., LPC, NCC

• Chiropractor in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.