Active NPI
Wayne Thomas Johnson, D.C.
- Sports Physician Chiropractor
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 95-288007-1202
- Practice address
- 70 S Fairfield Rd
Suite 7
Layton, UT 84041-5111 - Phone
- (801) 444-1002
- Fax
- (801) 444-0170
- NPI assigned
- Nov 10, 2005
- Last updated
- Jun 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 95-288007-1202 | UT | Primary |
Addresses
Primary practice location
70 S Fairfield Rd
Suite 7
Layton, UT 84041-5111
Mailing address
70 S Fairfield Rd
Suite 7
Layton, UT 84041-5111
Phone (801) 444-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
471 Heritage Park Blvd
Suite 3
Layton, UT 84041-5623
Phone (801) 444-1002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95-288007-1202 | UT | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Chiropractic Inc | Current | Accepting new patients |
Locations
471 Heritage Park Blvd
Ste 3
Layton, UT 84041
Phone (801) 444-1002
70 S Fairfield Rd
Ste 7
Layton, UT 84041
Phone (801) 444-1002
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Layton, UT
- NPI 1548426513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1558342105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 S FAIRFIELD RD",
"address_2": "SUITE 7",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415111",
"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": "70 S FAIRFIELD RD",
"address_2": "SUITE 7",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415111",
"telephone_number": "801-444-1002",
"fax_number": "801-444-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WAYNE",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "UT",
"license": "95-288007-1202",
"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 Jun 25, 2008; 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.