Organization Active NPI

Johnson Chiropractic Inc

  • Chiropractor
  • Layton, UT
National Provider Identifier
1548426513
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
952880071202 Issued in UT
Legal business name
JOHNSON CHIROPRACTIC INC
Practice address
471 Heritage Park Blvd Ste 3
Layton, UT 84041-5623
Phone
(801) 444-1002
Fax
(801) 544-3186
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Wayne Thomas Johnson, DCNPI 1558342105
Title
Chiropractic
Phone
(801) 444-1002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 952880071202 UT Primary

Addresses

Primary practice location

471 Heritage Park Blvd Ste 3
Layton, UT 84041-5623

Mailing address

471 Heritage Park Blvd Ste 3
Layton, UT 84041-5623
Phone (801) 444-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080801000309 UT Part B Supplier - Clinic/Group Practice 2961576418 Receives reassigned benefits from 1 practitioner
Practice locations: Layton, UT

National Provider Directory

National Provider Directory

Locations

70 S Fairfield Rd
Ste 7
Layton, UT 84041
Phone (801) 444-1002

471 Heritage Park Blvd
Ste 3
Layton, UT 84041
Phone (801) 444-1002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1548426513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 HERITAGE PARK BLVD STE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415623",
            "telephone_number": "801-444-1002",
            "fax_number": "801-444-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HERITAGE PARK BLVD STE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840415623",
            "telephone_number": "801-444-1002",
            "fax_number": "801-544-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "801-444-1002",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "952880071202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.