Richard Brian Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005521 Issued in MI

Practice address

5755 W Maple Rd
Suite 107
West Bloomfield, MI 48322-4415

Phone

(248) 626-3030

Fax

(248) 626-3455

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bloomfield Chiropractic Center PLLC

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1427858729
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1508800780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 W MAPLE RD",
            "address_2": "SUITE 107",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224415",
            "telephone_number": "248-626-3030",
            "fax_number": "248-626-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 W MAPLE RD",
            "address_2": "SUITE 107",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224415",
            "telephone_number": "248-626-3030",
            "fax_number": "248-626-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLECTCARE INSURANCE ID",
            "identifier": "116940",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142932577",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "950F32961",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Johnson, RRT
• Leah Jean Johnson, MSW, LMSW-C
• Michael Brian Johnson, M.A. LPC
• Michele Johnson, LMSW
• Regina Renee Johnson, NP
• Shadesha Johnson
• Yevgeniya Johnson
• Yvonne Louise Johnson, PA-C
• Paul M. Johnston, M.D.
• Jon E. Cabot DDS Ms PC

• Chiropractor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.