Active NPI
Johnson Chiropractic
- Chiropractor
- Portage, WI
National Provider Identifier
1659618833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2049
- Legal business name
- JOHNSON CHIROPRACTIC
- Practice address
- 1512 New Pinery Rd
Portage, WI 53901-1312 - Phone
- (608) 742-5578
- NPI assigned
- Jan 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Johnson, D.C.
- Title
- Owner
- Phone
- 60087425578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2049 | WI | Primary |
Addresses
Primary practice location
1512 New Pinery Rd
Portage, WI 53901-1312
Mailing address
1512 New Pinery Rd
Portage, WI 53901-1312
Phone (608) 742-5578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38795400 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1512 New Pinery Rd
Portage, WI 53901
Phone (608) 742-5578
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Portage, WI
- NPI 1518017417
-
- Chiropractor
- Watertown, WI
- NPI 1801028089
-
- Chiropractor
- Middleton, WI
- NPI 1477824738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1659618833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011312",
"telephone_number": "608-742-5578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011312",
"telephone_number": "608-742-5578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-09",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "60087425578",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "WI",
"license": "2049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38795400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.