Johnson Chiropractic Health Center, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4292-012 Issued in WI

Legal business name

JOHNSON CHIROPRACTIC HEALTH CENTER, SC

Practice address

195 14TH St
Fond Du Lac, WI 54935-5976

Phone

(920) 921-4910

Fax

(920) 921-8645

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Bret Z Johnson, D.C.NPI 1346385499

Title

Owner/President

Phone

(920) 921-4910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Bret Zachary Johnson, D.C.

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1346385499
  Medicare reassignment NPD Authorized official
• Timothy Johnson, D.C.

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1407991573
  NPD (past)

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1346567492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549361451",
            "telephone_number": "920-921-4910",
            "fax_number": "920-921-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 14TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355976",
            "telephone_number": "920-921-4910",
            "fax_number": "920-921-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC HEALTH CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "920-921-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4292-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Andrew Jessen, M.D.
• Fangda Jiang, MD
• Patricia Ann Jirovetz, MS-ATRL
• Sachin S Jogal, MD
• Amy S Johannes, CSAC
• Johnson Chiropractic Health Service
• Aaron R Johnson, M.D.
• Bret Zachary Johnson, D.C.
• Julie A Johnson, NP
• Misty L Johnson, MD

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.