Roger Michael Johnigk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

987 Issued in WA

Practice address

205 Cowlitz Street
Toledo, WA 98591

Phone

(360) 864-6666

Fax

(360) 864-2077

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Roger M Johnigk DC PS

  • Corporate Health Clinic/Center
  • Toledo, WA
  • NPI 1811256001
  NPD (past) Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1568507697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "TOLEDO",
            "state": "WA",
            "postal_code": "985910339",
            "telephone_number": "360-864-6666",
            "fax_number": "360-864-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COWLITZ STREET",
            "city": "TOLEDO",
            "state": "WA",
            "postal_code": "98591",
            "telephone_number": "360-864-6666",
            "fax_number": "360-864-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNIGK",
        "first_name": "ROGER",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "14972",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001006",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillene Filla, RN, CCM
• Kendra Lyn Hoyt, NP
• Darren Stuart Hunt, LCSW, LICSW, CADC
• Interlocal Organization of LC Rural
• Coral Taryn Isaacs, PA
• Linda Kann
• Lewis County Community Health Services
• Lewis County Fire District 2
• Robert Manthe, DDS
• Michelle Randall, LMT

• Chiropractor in Toledo, WA
• Providers in Toledo, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.