Active NPI
Homer Johnson III, D.C.
- Chiropractor
- Farmers Branch, TX
National Provider Identifier
1336416221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11930
- Practice address
- 13612 Midway Rd Ste 408
Farmers Branch, TX 75244-4321 - Phone
- (972) 331-1234
- NPI assigned
- Nov 21, 2011
- Last updated
- Nov 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 11930 | TX | Primary |
Addresses
Primary practice location
13612 Midway Rd Ste 408
Farmers Branch, TX 75244-4321
Mailing address
13612 Midway Rd Ste 408
Farmers Branch, TX 75244-4321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11930 | TX | MD | General Practice Dentistry |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1336416221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13612 MIDWAY RD STE 408",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752444321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13612 MIDWAY RD STE 408",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752444321",
"telephone_number": "972-331-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HOMER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-21",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.