Jerry N Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4344 Issued in TX

Practice address

1502 E Belt Line Rd
Carrollton, TX 75006-6307

Phone

(972) 466-2273

Fax

(972) 245-0269

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346253499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066307",
            "telephone_number": "972-466-2273",
            "fax_number": "972-245-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E BELT LINE RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066307",
            "telephone_number": "972-466-2273",
            "fax_number": "972-245-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERRY",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "605672",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alecia N Johnson
• Arthur James Johnson
• Bailey Mackenzie Johnson
• Debra Ann Johnson, R.D./L.D., C.D.E.
• George Alan Johnson, M.A.
• Rebecca Lynn Johnson
• Stephanie Paige Johnson, MHS, CCC-SLP
• Garon Jones-Brown, LPC-ASSOCIATE
• Amy Jones
• Ashley Elizabeth Jones, M.ED., BCBA, LBA

• Chiropractor in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.