Larry Dean Johnson, DC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH5495 Issued in FL

Practice address

2721 Del Prado Blvd S Ste 250
Cape Coral, FL 33904-5710

Phone

(239) 471-9070

Fax

(239) 574-9454

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Larry D Johnson DC LLCGroup PAC ID 1355476110, 2 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 and National Provider Directory roles.

• Larry D Johnson DC LLC

  • Chiropractor
  • Cape Coral, FL
  • NPI 1366771370
  Medicare reassignment Care Compare group NPD Authorized official
• Gulfcoast Healthcare Group LLC

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1215788229

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1669448155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S STE 250",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045710",
            "telephone_number": "239-471-9070",
            "fax_number": "239-574-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 DEL PRADO BLVD S STE 250",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339045710",
            "telephone_number": "239-471-9070",
            "fax_number": "239-574-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LARRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5495",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH5495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350053600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381717200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Nicole Johnson, DDS
• Jonathan Andrew Johnson, DC
• Kelly Johnson, MD
• Kristine Kay Johnson, DC
• Lana L Johnson, ITDS
• Megan Johnson
• Paige Johnson, MS, BCBA
• Rebecca Johnson, MS, LMHC
• Sarajane Johnson, ARNP
• Tammy Johnson, O.D.

• Neurology Chiropractor in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Neurology Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.