Organization Active NPI

Johnson Chiropractic Center, P.S.C.

  • Chiropractor
  • Bowling Green, KY
National Provider Identifier
1366591935
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4065 Issued in KY
Legal business name
JOHNSON CHIROPRACTIC CENTER, P.S.C.
Practice address
915 E 10TH Ave
Bowling Green, KY 42101-2362
Phone
(270) 842-4211
Fax
(270) 842-2604
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Dr. Michael Hafford Johnson, D.C.
Title
President
Phone
(270) 842-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4065 KY Primary

Addresses

Primary practice location

915 E 10TH Ave
Bowling Green, KY 42101-2362

Mailing address

915 E 10TH Ave
Bowling Green, KY 42101-2362
Phone (270) 842-4211

Other identifiers 1

IdentifierTypeStateIssuer
8590019900MedicaidKY

National Provider Directory

National Provider Directory

Locations

915 E 10th Ave
Bowling Green, KY 42101
Phone (270) 842-4211

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1366591935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012362",
            "telephone_number": "270-842-4211",
            "fax_number": "270-842-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E 10TH AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012362",
            "telephone_number": "270-842-4211",
            "fax_number": "270-842-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC CENTER, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HAFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-842-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8590019900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.