Kristoffer Gary Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1895 Issued in AL

Practice address

1901 6TH Ave N Ste 260
Birmingham, AL 35203-4625

Phone

(205) 322-9005

Fax

(205) 322-9039

NPI assigned

Jan 30, 2007

Last updated

Sep 4, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adio Chiropractic

  dba Back on Track chiropractic

  • Chiropractor
  • Birmingham, AL
  • NPI 1992032320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1437296506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 6TH AVE N STE 260",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034625",
            "telephone_number": "205-322-9005",
            "fax_number": "205-322-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 6TH AVE N STE 260",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034625",
            "telephone_number": "205-322-9005",
            "fax_number": "205-322-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTOFFER",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51098522",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen R Johnson, PSY D
• Karmie M. Johnson, CRNP
• Kimberlee Johnson
• Knigeria Johnson, MA, ALC, NCC
• Kristin Landham Johnson, PA-C
• Lajessica Johnson
• Laquinta Johnson, OT
• Laura Johnson, FNP
• Lauren Johnson
• Lawrence F Johnson, MD

• Chiropractor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.