Larry D Johnson DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LARRY D JOHNSON DC LLC

Practice address

1510 Hancock Bridge Pkwy #6
Cape Coral, FL 33990-1715

Phone

(239) 574-5559

Fax

(239) 574-9454

NPI assigned

Dec 22, 2009

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

LARRY D JOHNSON DC LLCAs reported in NPPES

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

Authorized official

Name

Dr. Larry Dean Johnson, DCNPI 1669448155

Title

MGR

Phone

(239) 574-5559

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Part of

Larry D Johnson DC LLC

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Dean Johnson, DC

  • Neurology Chiropractor
  • Cape Coral, FL
  • NPI 1669448155
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Wohl, MD

  • Emergency Medicine Physician
  • Fort Myers, FL
  • NPI 1174636724
  Medicare reassignment Care Compare group NPD
• Mairelis De la Cruz Hernandez

  • Psychiatric/Mental Health Nurse Practitioner
  • Cape Coral, FL
  • NPI 1588295919
  Medicare reassignment NPD
• Elba Marina Johnson

  • Licensed Practical Nurse
  • Fort Myers, FL
  • NPI 1669151577
  NPD (past)

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1366771370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 HANCOCK BRIDGE PKWY #6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901715",
            "telephone_number": "239-574-5559",
            "fax_number": "239-574-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 HANCOCK BRIDGE PKWY #6",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901715",
            "telephone_number": "239-574-5559",
            "fax_number": "239-574-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY D JOHNSON DC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LARRY D JOHNSON DC LLC",
        "enumeration_date": "2009-12-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "239-574-5559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381717200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Matthew Lanza, MD
• Laura Lara
• Orelbys Lara
• Seidy Beatriz Lara
• Momo Sando Larmena Jr., DMIN
• Keith Joseph Larson Jr., PHARMD
• Alexander Lastra Cabeza, MD
• Latin Diagnostic Rehabilitation Center Inc
• Michael A Laufer, MD
• Marialisis Laugart Cavado, RBT

• Chiropractor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.