Active NPI
Jennifer Gwen Johnson, D.C.
- Chiropractor
- Butte, MT
National Provider Identifier
1386878676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHI-CHI-LIC-1188
- Practice address
- 31 W Park St
Butte, MT 59701-1713 - Phone
- (406) 565-3760
- NPI assigned
- May 14, 2009
- Last updated
- Dec 19, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9178 | AZ | |
| Chiropractor | 111N00000X | 1188 | MT | |
| Chiropractor | 111N00000X | CHI-CHI-LIC-1188 | MT | Primary |
Addresses
Primary practice location
31 W Park St
Butte, MT 59701-1713
Mailing address
1117 W Galena St
Butte, MT 59701-1421
Phone (406) 565-3760
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | kareo | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 W Mercury St
Butte, MT 59701-1652
Phone (406) 565-3760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9178 | AZ | MD | Chiropractor |
| 1188 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Action PLLC | Chiropractor | Current | Accepting new patients |
| Advanced Spinal Fitness Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
31 W Park St
Butte, MT 59701
Phone (406) 565-3760
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Butte, MT
- NPI 1891812129
-
- Chiropractor
- Helena, MT
- NPI 1851651319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1386878676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 W GALENA ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011421",
"telephone_number": "406-565-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 W PARK ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597011713",
"telephone_number": "406-565-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JENNIFER",
"middle_name": "GWEN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "9178",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "1188",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "CHI-CHI-LIC-1188",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "kareo",
"affiliation": "N",
"endpointDescription": "software",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "31 W Park St",
"city": "Butte",
"state": "MT",
"country_code": "US",
"postal_code": "597011713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.