Active NPI
Joseph L Johnston, D.C.
- Chiropractor
- Casselberry, FL
National Provider Identifier
1710054341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH4011
- Practice address
- 1230 Seminola Blvd
Casselberry, FL 32707-3523 - Phone
- (407) 695-0400
- Fax
- (407) 695-0083
- NPI assigned
- Nov 29, 2006
- 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 | CH4011 | FL | Primary |
Addresses
Primary practice location
1230 Seminola Blvd
Casselberry, FL 32707-3523
Mailing address
1230 Seminola Blvd
Casselberry, FL 32707-3523
Phone (407) 695-0400
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4011 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710054341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 SEMINOLA BLVD",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073523",
"telephone_number": "407-695-0400",
"fax_number": "407-695-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 SEMINOLA BLVD",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073523",
"telephone_number": "407-695-0400",
"fax_number": "407-695-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "JOSEPH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH4011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casselberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.