Robert Lucas Johnson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038-007730 Issued in IL

Practice address

404 N Galena Ave
Dixon, IL 61021-2115

Phone

(815) 288-6683

Fax

(815) 288-4892

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• L. Johnson Chiropractic

  • Sports Physician Chiropractor
  • Dixon, IL
  • NPI 1134155716
  Medicare reassignment NPD Authorized official
• Forman Clinic of Chiropractic Rehabilitation

  • Chiropractor
  • Dixon, IL
  • NPI 1265477566
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427092964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212115",
            "telephone_number": "815-288-6683",
            "fax_number": "815-288-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212115",
            "telephone_number": "815-288-6683",
            "fax_number": "815-288-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038-007730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jozlyn Johnson, RBT
• Kiley Johnson
• Laurel Michelle Johnson, RBT-17-43570
• Morgan Johnson, LCSW
• Quinn Johnson, QMHP
• Christopher Jordan
• Jpie Inc.
• Jpie Inc.
• Meghan Nicole Jurgaitis, PA-C
• Khyati Vijay Kadia, M.D.

• Sports Physician Chiropractor in Dixon, IL
• Providers in Dixon, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.