Organization Active NPI

Johnson Family Chiropractic Clinic PC

  • Chiropractor
  • Oklahoma City, OK
National Provider Identifier
1437287778
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2626 Issued in OK
Legal business name
JOHNSON FAMILY CHIROPRACTIC CLINIC PC
Practice address
11914 N Pennsylvania Ave Ste B3
Oklahoma City, OK 73120-7831
Phone
(405) 752-8819
Fax
(405) 751-1238
NPI assigned
Feb 28, 2007
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Dr. Jerry L Johnson, D.C.NPI 1730260829
Title
President
Phone
(405) 752-8819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2626 OK Primary

Addresses

Primary practice location

11914 N Pennsylvania Ave Ste B3
Oklahoma City, OK 73120-7831

Mailing address

11914 N Pennsylvania Ave Ste B3
Oklahoma City, OK 73120-7831
Phone (405) 752-8819

National Provider Directory

National Provider Directory

Locations

2720 N Santa Fe Ave
Moore, OK 73160
Phone (405) 752-8819

11914 N Pennsylvania Ave
Ste B3
Oklahoma City, OK 73120
Phone (405) 752-8819

11914 N Pennsylvania Ave
Ste B6
Oklahoma City, OK 73120
Phone (405) 752-8819

4405 NW 4th St
#124
Oklahoma City, OK 73107
Phone (405) 752-8819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1437287778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 N PENNSYLVANIA AVE STE B3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207831",
            "telephone_number": "405-752-8819",
            "fax_number": "405-751-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 N PENNSYLVANIA AVE STE B3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207831",
            "telephone_number": "405-752-8819",
            "fax_number": "405-751-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON FAMILY CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-752-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.