Vegacorp PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VEGACORP PC

Doing business as

Johnson Chiropractic

Practice address

2094 185TH St.
Suite 40
Fairfield, IA 52556-8758

Phone

(641) 472-7333

Fax

(888) 279-4868

NPI assigned

Dec 29, 2016

Last updated

Jan 11, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Johnson, D.C.NPI 1699863563

Title

Chiropractor

Phone

(641) 472-7333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson Chiropractic Doing business as

Locations

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.

• Robert A Johnson, D.C.

  • Chiropractor
  • Fairfield, IA
  • NPI 1699863563
  Authorized official Same address or phone

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1437694411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2195",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525560037",
            "telephone_number": "641-472-7333",
            "fax_number": "888-279-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 185TH ST.",
            "address_2": "SUITE 40",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525568758",
            "telephone_number": "641-472-7333",
            "fax_number": "888-279-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGACORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "641-472-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZ111N00000X",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.