Christa Marie Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007649 Issued in MI

Practice address

739 Canfield Rd
Manistee, MI 49660-9630

Phone

(231) 723-3144

Fax

(231) 723-3140

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Johnson Adult & Pediatric Chiropractic LLC

  • Chiropractor
  • Manistee, MI
  • NPI 1730581455
  Medicare reassignment NPD Authorized official
• Zeller Chiropractic Health LLC

  • Chiropractor
  • Manistee, MI
  • NPI 1083367312
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1629292909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CANFIELD RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609630",
            "telephone_number": "231-723-3144",
            "fax_number": "231-723-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 CANFIELD RD",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496609630",
            "telephone_number": "231-723-3144",
            "fax_number": "231-723-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4389001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "0E110160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Roger Joanette, M.D.
• John Raymond MD PC
• Hannah Johns, IBCLC
• Johnson Adult & Pediatric Chiropractic LLC
• Alexander Johnson
• Jill Rene Johnson, LMSW
• Jordan Johnson
• Krystal Kay Johnston, M.D.
• Holly Joseph
• Justin P Terry DDS PLLC

• Chiropractor in Manistee, MI
• Providers in Manistee, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.