Individual provider Active NPI

Michael Aaron Johnson, DC

  • Chiropractor
  • Euless, TX
National Provider Identifier
1376557744
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7301 Issued in TX
Practice address
451 Westpark Way
Ste 7
Euless, TX 76040-3703
Phone
(817) 354-7300
Fax
(817) 799-0866
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7301 TX Primary

Addresses

Primary practice location

451 Westpark Way
Ste 7
Euless, TX 76040-3703

Mailing address

451 Westpark Way
Ste 7
Euless, TX 76040-3703
Phone (817) 354-7300

Other identifiers 1

IdentifierTypeStateIssuer
606397OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000317 TX Practitioner - Chiropractic 3072605294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 Westpark Way
Suite 100
Euless, TX 76040-3726
Phone (817) 354-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
R2 Wellness Medical Group PLLC CurrentSince Apr 6, 2018 Accepting new patients
East Texas Chiropractic of Jasper, PA Chiropractor PastSince Dec 13, 2009 Accepting new patients

Locations

350 Westpark Way
Ste 100
Euless, TX 76040
Phone (817) 283-4641

451 Westpark Way
Ste 1
Euless, TX 76040
Phone (817) 354-7300

451 Westpark Way
Ste 7
Euless, TX 76040
Phone (817) 354-7300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1376557744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY",
            "address_2": "STE 7",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403703",
            "telephone_number": "817-354-7300",
            "fax_number": "817-799-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 WESTPARK WAY",
            "address_2": "STE 7",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403703",
            "telephone_number": "817-354-7300",
            "fax_number": "817-799-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "606397",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; 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.

Verify at the official NPI Registry.