Jennifer Lyn Johnson, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR1261 Issued in ME

Practice address

90 Maine Ave
Gardiner, ME 04345-2131

Phone

(207) 582-2222

Fax

(207) 588-0891

NPI assigned

Apr 3, 2007

Last updated

Sep 27, 2011By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gardiner Family Chiropractic PCGroup PAC ID 4385786581, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gardiner Family Chiropractic PC

  • Chiropractor
  • Gardiner, ME
  • NPI 1396074431
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1629199989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAINE AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452131",
            "telephone_number": "207-582-2222",
            "fax_number": "207-588-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAINE AVE",
            "city": "GARDINER",
            "state": "ME",
            "postal_code": "043452131",
            "telephone_number": "207-582-2222",
            "fax_number": "207-588-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR1261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "00002167772",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannaford Bros. Co., LLC (Hannaford Food and Drug)
• Healthreach Community Health Centers (Gardiner Area High School Health Center)
• Healthy Smiles, LLC
• Wayne Anthony Heath Jr., PA-C
• Laurie Hofmann, LMFT
• Julie Johnson
• Ashley Anne Juat, MOT, OTR/L
• Kellianne Kinane
• Richard Ward Knipping III, DC
• John P Kootz, M.D

• Chiropractor in Gardiner, ME
• Providers in Gardiner, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.

Verify at the official NPI Registry.