Active NPI
Paul F. Johnston, D.C.
- Chiropractor
- Shreveport, LA
National Provider Identifier
1366587420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 359
- Practice address
- 9141 Walker Rd
Shreveport, LA 71118-2940 - Phone
- (318) 687-9671
- Fax
- (318) 687-9691
- NPI assigned
- Feb 20, 2007
- 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 | 359 | LA | Primary |
Addresses
Primary practice location
9141 Walker Rd
Shreveport, LA 71118-2940
Mailing address
9141 Walker Rd
Shreveport, LA 71118-2940
Phone (318) 687-9671
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359 | Other | LA | LICENSES |
| 20294 | Other | LA | BLUE CROSS BLUE SHIELD |
| 1950181 | Medicaid | LA | |
| 720957373 | Other | LA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9141 Walker Rd
Shreveport, LA 71118-2940
Phone (318) 687-9671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnston Chiropractic, L.L.C. | Chiropractor | Current | Accepting new patients |
Locations
9141 Walker Rd
Shreveport, LA 71118
Phone (318) 687-9671
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 and National Provider Directory roles.
-
- Chiropractor
- Shreveport, LA
- NPI 1912165077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366587420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9141 WALKER RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182940",
"telephone_number": "318-687-9671",
"fax_number": "318-687-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9141 WALKER RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182940",
"telephone_number": "318-687-9671",
"fax_number": "318-687-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "PAUL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSES",
"identifier": "359",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "20294",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1950181",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "720957373",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- 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.