Thomas Edward Johnson, DC, IDE

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

20642 Issued in CA

Practice address

350 Green Valley Rd
El Dorado Hills, CA 95762-3927

Phone

(916) 933-6700

Fax

(916) 933-2253

NPI assigned

Aug 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1457783011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GREEN VALLEY RD",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623927",
            "telephone_number": "916-933-6700",
            "fax_number": "916-358-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 GREEN VALLEY RD",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623927",
            "telephone_number": "916-933-6700",
            "fax_number": "916-933-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DC, IDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "CA",
            "license": "20642",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CA",
            "license": "20642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyrstyn Johnson
• Leona Johnson
• Mary Ann Nau Johnson, MD
• Sadrea Johnson
• Sarah Johnson
• Hailey Jones
• Tori Jones
• Alyssa Jordahl
• Janila Joseph
• Ajay Kumar Joshi, M.D., MRCP, FACC

• Occupational Health Chiropractor in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Occupational Health Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.