Individual provider Active NPI

Michael L Johnson Jr., D.C.

  • Nutrition Chiropractor
  • Cedar Falls, IA
National Provider Identifier
1619915816
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
06609 Issued in IA
Practice address
226 Brandilynn
Ste. D
Cedar Falls, IA 50613-7410
Phone
(319) 266-7788
Fax
(319) 266-8088
NPI assigned
Jun 2, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 06609 IA Primary

Addresses

Primary practice location

226 Brandilynn
Ste. D
Cedar Falls, IA 50613-7410

Mailing address

226 Brandilynn Blvd
Cedar Falls, IA 50613-7410
Phone (319) 266-7788

Other identifiers 1

IdentifierTypeStateIssuer
0289694MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1619915816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 BRANDILYNN BLVD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137410",
            "telephone_number": "319-266-7788",
            "fax_number": "319-266-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BRANDILYNN",
            "address_2": "STE. D",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137410",
            "telephone_number": "319-266-7788",
            "fax_number": "319-266-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IA",
            "license": "06609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289694",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.