Individual provider Active NPI

Michael Keith Johnsey, D.C.

  • Chiropractor
  • Lafayette, LA
National Provider Identifier
1710174644
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1446 Issued in LA
Practice address
102 Woodvale Ave
Suite - C
Lafayette, LA 70503-3734
Phone
(337) 406-4790
Fax
(337) 406-4791
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1446 LA Primary

Addresses

Primary practice location

102 Woodvale Ave
Suite - C
Lafayette, LA 70503-3734

Mailing address

102 Woodvale Ave
Suite - C
Lafayette, LA 70503-3734
Phone (337) 406-4790

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

LicenseStateTypeSpecialty
1446LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Anesthesia Associates, L.L.C. PastSince Nov 4, 2013 Accepting new patients
Iberia Gastroenterology Associates, Inc. a Professional Medical Corpor PastSince Jul 1, 2013 Accepting new patients
Carr Chiropractic Clinic, LLC Chiropractor Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDFBA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1710174644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODVALE AVE",
            "address_2": "SUITE - C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033734",
            "telephone_number": "337-406-4790",
            "fax_number": "337-406-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODVALE AVE",
            "address_2": "SUITE - C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033734",
            "telephone_number": "337-406-4790",
            "fax_number": "337-406-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEY",
        "first_name": "MICHAEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.