Michael Douglas Johnson, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

0104000670 Issued in VA

Practice address

9924 Midlothian Tpke
Richmond, VA 23235-4814

Phone

(804) 320-9050

Fax

(804) 320-9048

NPI assigned

Aug 10, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1699777698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 MIDLOTHIAN TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354814",
            "telephone_number": "804-320-9050",
            "fax_number": "804-320-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 MIDLOTHIAN TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354814",
            "telephone_number": "804-320-9050",
            "fax_number": "804-320-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "VA",
            "license": "0104000670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "070327",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette Katherine Johnson, LCSW
• Lynn Harrington Johnson, M.D.
• Maya Johnson
• Meghan Johnson, LPC
• Melanie Erin Johnson
• Moses Johnson, PT, DPT
• Myles Alexander Johnson, EP-C
• Nicole K Johnson, DO
• Niki Michele Johnson, EP
• Noelle Johnson

• Sports Physician Chiropractor in Richmond, VA
• Providers in Richmond, VA by specialty
• Sports Physician Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.