Organization Active NPI

Johnson Street Chiropractic

  • Chiropractor
  • High Point, NC
National Provider Identifier
1578877791
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3460 Issued in NC
Legal business name
JOHNSON STREET CHIROPRACTIC
Practice address
1211 Johnson St
High Point, NC 27262-3126
Phone
(336) 883-0422
Fax
(336) 883-7274
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Kevin S. Murray, D.C.NPI 1902840911
Title
Owner
Phone
(336) 883-0422

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 3460 NC Primary

Addresses

Primary practice location

1211 Johnson St
High Point, NC 27262-3126

Mailing address

1211 Johnson St
High Point, NC 27262-3126
Phone (336) 883-0422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100907000097 NC Part B Supplier - Clinic/Group Practice 5698899151 Receives reassigned benefits from 1 practitioner
Practice locations: High Point, NC

National Provider Directory

National Provider Directory

Locations

1211 Johnson St
High Point, NC 27262
Phone (336) 883-0422

Practitioners & affiliated clinicians

Practitioners 2

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": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1578877791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 JOHNSON ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623126",
            "telephone_number": "336-883-0422",
            "fax_number": "336-883-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 JOHNSON ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623126",
            "telephone_number": "336-883-0422",
            "fax_number": "336-883-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON STREET CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-883-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.