Kevin S. Johnson, D.C., PC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

2166 Issued in OR

Legal business name

KEVIN S. JOHNSON, D.C., PC

Doing business as

Great Basin Chiropractic

Practice address

229 N Egan Ave
Burns, OR 97720-1741

Phone

(541) 573-7733

Fax

(541) 573-7732

NPI assigned

Dec 5, 2011

Last updated

Dec 5, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin S. Johnson, D.C.NPI 1194867200

Title

President

Phone

(541) 573-7733

Specialties & licenses 1

Addresses

Other names 1

• Great Basin Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Stuart Johnson, DC

  • Chiropractor
  • Burns, OR
  • NPI 1194867200
  Authorized official Same address or phone

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1720356744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201741",
            "telephone_number": "541-573-7733",
            "fax_number": "541-573-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201741",
            "telephone_number": "541-573-7733",
            "fax_number": "541-573-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN S. JOHNSON, D.C., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-573-7733",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Basin Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Johnston, MD
• Tobias D Joyce, D.C.
• Mboni Jumaa Kangame
• Jennifer Rebecca Keady, OD
• Franki Elise Kesling, QMHA
• Robert John Krauel, O D
• Stanley L Kull, DDS MS
• Thaddeus Shawn Labhart, CADCII, MAQMHP
• Sarah Lynn Laiosa, DO
• Sarah Lance

• Nutrition Chiropractor in Burns, OR
• Providers in Burns, OR by specialty
• Nutrition Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.