Active NPI
David R Johnston, D.C.
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1669539565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002931
- Practice address
- 6325 195TH St SW
Lynnwood, WA 98036-5143 - Phone
- (425) 774-6876
- Fax
- (425) 775-2739
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002931 | WA | Primary |
Addresses
Primary practice location
6325 195TH St SW
Lynnwood, WA 98036-5143
Mailing address
6325 195TH St SW
Lynnwood, WA 98036-5143
Phone (425) 774-6876
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH00002931 | Other | WA | CHIROPRACTIC LICENSE # |
| 37464 | Other | WA | L&I NUMBER |
| JO1054 | Other | WA | REGENCE RIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002931 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Free Move Well | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Pain Free Move Well Clinic
- Chiropractor
- Mountlake Terrace, WA
- NPI 1568737047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1669539565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 195TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365143",
"telephone_number": "425-774-6876",
"fax_number": "425-775-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 195TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365143",
"telephone_number": "425-774-6876",
"fax_number": "425-775-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DAVID",
"middle_name": "R",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE #",
"identifier": "CH00002931",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I NUMBER",
"identifier": "37464",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER #",
"identifier": "JO1054",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.