Isaac George Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1355 Issued in SD

Practice address

611 6TH St SE
Watertown, SD 57201-4938

Phone

(605) 882-0100

Fax

(605) 882-6911

NPI assigned

Sep 24, 2019

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 SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alternative Health Centers PCGroup PAC ID 2860397536, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Alternative Health Centers PC

  • Clinic/Center
  • Watertown, SD
  • NPI 1073781332
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1477104248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 6TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014938",
            "telephone_number": "605-882-0100",
            "fax_number": "605-882-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 6TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014938",
            "telephone_number": "605-882-0100",
            "fax_number": "605-882-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ISAAC",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1355",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Jensen
• Leah Jessen
• John Boer, PC
• Elizabeth Rae Johnson, P.A.
• Francine Johnson
• Kenneth M Johnson, MD
• Kristopher B Johnson, MD
• Mary Kay Johnson, LCSW CSW PIP QMNP
• Michael Jerome Johnson, O.D.
• Nicole Johnson

• Chiropractor in Watertown, SD
• Providers in Watertown, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.