Active NPI
Austin Johnson, D.C.
- Chiropractor
- Omaha, NE
National Provider Identifier
1255700803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 111N00000X
- Practice address
- 10102 Maple St
Omaha, NE 68134-5555 - Phone
- (402) 571-3010
- NPI assigned
- Sep 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 111N00000X | NE | Primary |
Addresses
Primary practice location
10102 Maple St
Omaha, NE 68134-5555
Mailing address
10102 Maple St
Omaha, NE 68134-5555
Phone (402) 571-3010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112000612 | NE | Practitioner - Chiropractic | 7214247733 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10102 Maple St
Omaha, NE 68134-5555
Phone (402) 571-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111N00000X | NE | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruening Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
| Austin J Johnson Chiropractic Wellness, LLC. | Chiropractor | Current | Accepting new patients |
Locations
10102 Maple St
Omaha, NE 68134
Phone (402) 571-3010
Organizations & group practices 2
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.
-
- Chiropractor
- Omaha, NE
- NPI 1114390648
-
- Chiropractor
- Omaha, NE
- NPI 1720361975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1255700803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10102 MAPLE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681345555",
"telephone_number": "402-571-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10102 MAPLE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681345555",
"telephone_number": "402-571-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AUSTIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "111N00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.