Edward Johnnie, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000146684 Issued in MO

Practice address

1137 N Main St Ste 1
O Fallon, MO 63366-1498

Phone

(636) 294-4530

NPI assigned

Jun 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logan UniversityGroup PAC ID 5698660322, 10 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.

• Logan University

  • Chiropractor
  • Chesterfield, MO
  • NPI 1194765941
  Medicare reassignment Care Compare group NPD
• E.D. Johnnie LLC

  • Chiropractor
  • O Fallon, MO
  • NPI 1740567577
  Medicare reassignment Authorized official
• Cowser Spine and Sport

  • Chiropractor
  • O Fallon, MO
  • NPI 1942196985
  NPD (past)
• Dr Craig Conner Chiropractic LLC

  • Chiropractor
  • O Fallon, MO
  • NPI 1609992122
  NPD (past)
• Georgia Chiropractic LLC

  • Chiropractor
  • O Fallon, MO
  • NPI 1750506994
  NPD (past)
• Gray Family Chiropractic PLLC

  • Chiropractor
  • Chesterfield, MO
  • NPI 1811312663
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1528096054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 WAINSCOTT DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664481",
            "telephone_number": "636-734-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 N MAIN ST STE 1",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661498",
            "telephone_number": "636-294-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNNIE",
        "first_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000146684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Monica Jenkins Jenkins
• Monica Jenkins Jenkins
• Jennifer Brand LLC
• Jennifer Frieswick MSW LCSW LLC
• Paden John, DMD
• Dawn Marie Johns
• Alan Marshall Johnson, DDS
• Ashley Johnson, SLP
• Debra Lee Johnson
• Melissa L Johnson, MPT

• Chiropractor in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.