Active NPI
Stephen D Johnson, D.C.
- Chiropractor
- Warrenton, OR
National Provider Identifier
1417088535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 1793
- Practice address
- 679 E Harbor St
Suite 140
Warrenton, OR 97146-9717 - Phone
- (503) 861-1661
- Fax
- (503) 861-1662
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 27 1793 | OR | Primary |
Addresses
Primary practice location
679 E Harbor St
Suite 140
Warrenton, OR 97146-9717
Mailing address
679 E Harbor St
Suite 140
Warrenton, OR 97146-9717
Phone (503) 861-1661
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 1793 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Lopez DC, PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417088535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "679 E HARBOR ST",
"address_2": "SUITE 140",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971469717",
"telephone_number": "503-861-1661",
"fax_number": "503-861-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 E HARBOR ST",
"address_2": "SUITE 140",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971469717",
"telephone_number": "503-861-1661",
"fax_number": "503-861-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEPHEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 1793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.