NPIMap

Organization Active NPI

Gordon C. Johnson

  • Chiropractor
  • Murfreesboro, TN
National Provider Identifier
1346312469
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GORDON C. JOHNSON
Practice address
1535 W Northfield Blvd
Suite 6
Murfreesboro, TN 37129-1427
Phone
(615) 849-9064
Fax
(615) 849-7744
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Gordon Christopher Johnson, D.C.NPI 1235201351
Title
Owner
Phone
(615) 849-9064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TN Primary

Addresses

Primary practice location

1535 W Northfield Blvd
Suite 6
Murfreesboro, TN 37129-1427

Mailing address

1535 W Northfield Blvd
Suite 6
Murfreesboro, TN 37129-1427
Phone (615) 849-9064

Other names 1

  • Murfreesboro Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000200 TN Part B Supplier - Clinic/Group Practice 6406804830 Receives reassigned benefits from 2 practitioners
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory

Locations

1535 W Northfield Blvd
Ste 6
Murfreesboro, TN 37129
Phone (615) 849-9064

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1346312469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W NORTHFIELD BLVD",
            "address_2": "SUITE 6",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291427",
            "telephone_number": "615-849-9064",
            "fax_number": "615-849-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 W NORTHFIELD BLVD",
            "address_2": "SUITE 6",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291427",
            "telephone_number": "615-849-9064",
            "fax_number": "615-849-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON C. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-849-9064",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murfreesboro Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Murfreesboro Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.