Stephen D Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH5721 Issued in FL

Practice address

2390 Griffin Rd
Lakeland, FL 33810-6760

Phone

(863) 859-0335

Fax

(863) 859-0501

NPI assigned

Jun 23, 2005

Last updated

Sep 26, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjohnson@ccol0001.direct.chirotouch.md

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.

• Chiropractic Center of Lakeland Inc

  • Chiropractor
  • Lakeland, FL
  • NPI 1275696247
  Medicare reassignment NPD Authorized official
• Chiropractic Center of Lakeland South, Inc

  dba Love Chiropractic Center

  • Chiropractor
  • Lakeland, FL
  • NPI 1548410301
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1710983747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 GRIFFIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338106760",
            "telephone_number": "863-859-0335",
            "fax_number": "863-859-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 GRIFFIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338106760",
            "telephone_number": "863-859-0335",
            "fax_number": "863-859-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Johnson
• Kristin Marie Johnson, ARNP, AGACNP-BC
• Matthew Scott Johnson
• Melinda Catherine Johnson
• Robert Dean Johnson, OT
• Sydney Claire Johnson
• Terry L Johnson, CRNA
• Timothy Asher Johnson, DO
• Tiy Johnson
• Trey Allen Johnson, M.D.

• Chiropractor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.