Johnson Chiropractic Office, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1419-012 Issued in WI

Legal business name

JOHNSON CHIROPRACTIC OFFICE, S.C.

Practice address

716 W Main St
Waupun, WI 53963-1230

Phone

(920) 324-5641

Fax

(920) 324-5655

NPI assigned

Dec 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell W Johnson III, D.C.

Title

President

Phone

(920) 324-5641

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaila Alvarez, DC

  • Chiropractor
  • Columbus, WI
  • NPI 1134743792
  NPD

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659436350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631230",
            "telephone_number": "920-324-5641",
            "fax_number": "920-324-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631230",
            "telephone_number": "920-324-5641",
            "fax_number": "920-324-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC OFFICE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-324-5641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1419-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Scot Homan, DDS
• Erica Lynn Huenink, PT, DPT
• Jan'S Optical LLC
• Janet S White
• Abigail Jenkins
• Mitchell W Johnson, D.C.
• Michael A Jones, DO
• Kelli Melissa Kaminski
• Roman Yakov Kaplan, MD
• Elizabeth Ann Kartechner, APNP

• Chiropractor in Waupun, WI
• Providers in Waupun, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.