Active NPI
Tiffany N. Johnson, D.C., LMT
- Chiropractor
- Sumter, SC
National Provider Identifier
1376966531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3539
- Practice address
- 547 Miller Rd
Suite a
Sumter, SC 29150-3332 - Phone
- (803) 938-9000
- NPI assigned
- Jan 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3539 | SC | Primary |
| Massage Therapist | 225700000X | 6872 | SC |
Addresses
Primary practice location
547 Miller Rd
Suite a
Sumter, SC 29150-3332
Mailing address
547 Miller Rd
Suite a
Sumter, SC 29150-3332
Phone (803) 938-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3539 | SC | MD | Registered Dietitian |
| 6872 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1376966531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "547 MILLER RD",
"address_2": "SUITE A",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503332",
"telephone_number": "803-938-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "547 MILLER RD",
"address_2": "SUITE A",
"city": "SUMTER",
"state": "SC",
"postal_code": "291503332",
"telephone_number": "803-938-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TIFFANY",
"middle_name": "N.",
"credential": "D.C., LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-23",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3539",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "6872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.