Kendal E Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0105928 Issued in KS

Practice address

20160 W 153Rd St
Olathe, KS 66062-9131

Phone

(913) 764-2271

Fax

(913) 764-2276

NPI assigned

Sep 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Restore Chiropractic and Rehab LLCGroup PAC ID 3971787136, 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.

• Restore Chiropractic & Rehab LLC

  • Chiropractor
  • Lawrence, KS
  • NPI 1467757971
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1255815254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20160 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629131",
            "telephone_number": "913-764-2271",
            "fax_number": "913-764-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20160 W 153RD ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629131",
            "telephone_number": "913-764-2271",
            "fax_number": "913-764-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENDAL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE BOARD OF HEALING ARTS",
            "identifier": "01-05928",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Johnson
• Janelle Johnson, PHARMD
• Jennifer P Johnson, OD
• Jeslyn A. Johnson, CRNA
• Karen Jo Johnson, D.O.
• Lesley Michelle Johnson, PHARMD
• Lindsay Ann Johnson, LBSW, T-LMSW
• Molly E Johnson, MFT
• Patricia Johnson, RPH
• Taylor Johnson, M.A., L.P.C., M.DIV.

• Chiropractor in Olathe, KS
• Providers in Olathe, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.