Johnston Chiropractic LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

2196 Issued in WA

Legal business name

JOHNSTON CHIROPRACTIC LLC

Practice address

216 N Roosevelt St
Walla Walla, WA 99362-2537

Phone

(509) 529-6200

Fax

(509) 529-6200

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ricky J Johnston, D.C,

Title

Chiropractor

Phone

(509) 529-6200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1548533490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N ROOSEVELT ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622537",
            "telephone_number": "509-529-6200",
            "fax_number": "509-529-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N ROOSEVELT ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622537",
            "telephone_number": "509-529-6200",
            "fax_number": "509-529-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-529-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "2196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Johnson, LCPO
• Kayla Brooke Johnson, LMT
• Robert Johnson, MD00041003
• Robert Arnold Johnson, M.D.
• Robert L Johnson, DO
• Ricky J Johnston, D.C.
• Glenda Jolliffe, MSW
• Jonathan M. Wainwright Memorial VA Medical Center
• Jonathan W. Gantz, DDS PLLC (Enhanced Dental Care)
• Jonathan Wainright VA Medical Center

• Preferred Provider Organization in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.