Active NPI
Jonathan Andrew Johnson, DC
- Chiropractor
- Cape Coral, FL
National Provider Identifier
1427776392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14065
- Practice address
- 3015 SW Pine Island Rd Ste 111
Cape Coral, FL 33991-1704 - Phone
- (239) 766-6821
- NPI assigned
- Aug 17, 2022
- 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 | 14065 | FL | Primary |
Addresses
Primary practice location
3015 SW Pine Island Rd Ste 111
Cape Coral, FL 33991-1704
Mailing address
3015 SW Pine Island Rd Ste 111
Cape Coral, FL 33991-1704
Phone (239) 766-6821
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 |
|---|---|---|---|
| 14065 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1427776392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 SW PINE ISLAND RD STE 111",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339911704",
"telephone_number": "239-766-6821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 SW PINE ISLAND RD STE 111",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339911704",
"telephone_number": "239-766-6821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JONATHAN",
"middle_name": "ANDREW",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-17",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "14065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.