Connor McGrath Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301011116 Issued in MI

Practice address

1111 W Michigan Ave
Jackson, MI 49202-4122

Phone

(517) 784-3109

NPI assigned

Jun 24, 2021

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tecumseh Chiropractic Center IncorporatedGroup PAC ID 2668428418, 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.

• Tecumseh Chiropractic Center, Incorporated

  • Chiropractor
  • Tecumseh, MI
  • NPI 1548442676
  Medicare reassignment Care Compare group NPD
• Fall Chiropractic, PLLC

  • Chiropractor
  • Jackson, MI
  • NPI 1689004632
  NPD
• Toledo Clinic Incorporated

  • Podiatrist
  • Sylvania, OH
  • NPI 1952097073
  NPD (past)

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1548830375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SKYLINE DR",
            "city": "HORTON",
            "state": "MI",
            "postal_code": "492469756",
            "telephone_number": "517-748-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024122",
            "telephone_number": "517-784-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONNOR",
        "middle_name": "MCGRATH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Johnson
• Anaya Mikal Johnson
• Caitlin Johnson
• Cameron R Johnson I
• Christina Marie Johnson
• De'Sharrah Johnson, CHW
• Delia Johnson, LMSW
• Denise June Johnson, LPC, NCC
• Derek Johnson, PHARMD
• Jillian Johnson

• Chiropractor in Jackson, MI
• Providers in Jackson, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.