Johnson Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10808 Issued in TX

Legal business name

JOHNSON CHIROPRACTIC CENTER, PC

Doing business as

North East Texas Clinic of Chiropractic

Practice address

201 N. Collegiate
#900
Paris, TX 75460

Phone

(903) 905-4939

Fax

(903) 905-4940

NPI assigned

Nov 6, 2012

Last updated

Nov 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Clark Johnson, D.C.

Title

President/Doctor

Phone

(903) 905-4939

Specialties & licenses 1

Addresses

Other names 1

• North East Texas Clinic of Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Johnson Chiropractic Center, PC

  dba North East Texas Clinic of Chiropractic

  • Chiropractor
  • Abilene, TX
  • NPI 1881128148

  O20121211000083

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry L Daley, DC

  • Chiropractor
  • Abilene, TX
  • NPI 1639170012
  NPD (past)
• Walter Kenneth Mansfield, DC

  • Chiropractor
  • Abilene, TX
  • NPI 1942304340
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1619221082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N. COLLEGIATE",
            "address_2": "#900",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-905-4939",
            "fax_number": "903-905-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. COLLEGIATE",
            "address_2": "#900",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-905-4939",
            "fax_number": "903-905-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR",
        "authorized_official_telephone_number": "903-905-4939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North East Texas Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamie Nicole James, PTA
• Marc A Jamin, ROA
• Laura Janes
• Jose A Jasso, RN
• John E Perez Corporation (Perez Hearing Care Center)
• Ryley Johnson, BSRT (R)(T)
• Nikki Lanelle Johnston, FNP
• Nikki Shannon Johnston, APRN, FNP-BC
• Amy Jolley, ANP
• Brian Dion Jones, PHARMD

• Chiropractor in Paris, TX
• Providers in Paris, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.