Individual provider Active NPI

Peter Eric Johnson, DC

  • Chiropractor
  • Sulphur Springs, TX
National Provider Identifier
1427666205
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14471 Issued in TX
Practice address
207 Jefferson St E
Sulphur Springs, TX 75482-2643
Phone
(903) 249-8399
NPI assigned
Jul 17, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 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 14471 TX Primary

Addresses

Primary practice location

207 Jefferson St E
Sulphur Springs, TX 75482-2643

Mailing address

8865 County Road SW 3170
Winnsboro, TX 75494-5320
Phone (903) 733-5877

Other practice location 1

3305 NE Loop 286 Ste A
Paris, TX 75460-3402
Phone (903) 249-8399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827002350 TX Practitioner - Chiropractic 0749607356 Practice locations: Winnsboro, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

318 N Main St
Winnsboro, TX 75494-2524
Phone (903) 347-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14471TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1427666205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8865 COUNTY ROAD SW 3170",
            "city": "WINNSBORO",
            "state": "TX",
            "postal_code": "754945320",
            "telephone_number": "903-733-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST E",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822643",
            "telephone_number": "903-249-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 NE Loop 286 Ste A",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754603402",
            "country_code": "US",
            "telephone_number": "903-249-8399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PETER",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.