James Edward Johnson III, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.012516 Issued in IL

Practice address

1024 Maine St
Quincy, IL 62301-4039

Phone

(217) 222-6500

NPI assigned

Oct 25, 2013

Last updated

Apr 7, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Edge Chiropractic & Rehab Inc

  • Chiropractor
  • Quincy, IL
  • NPI 1992114151
  Medicare reassignment Authorized official
• Active Edge Chiropractic & Rehab Inc

  • Chiropractor
  • Quincy, IL
  • NPI 1922496637
  NPD Authorized official

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1720416936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 GHOST HOLLOW RD",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623058521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014039",
            "telephone_number": "217-222-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-25",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012516",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013036788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Walker Therapy Services
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• Nicole Jeziorski
• JFM Sal LLC (Silhouette Shoppe)
• JNCK PC (Kvitle Eye Care Associates)
• Lee Roy W Johnson, MD
• Linda M Johnson, M.D.
• Robert C Johnson, MD
• Tessa Jean Johnson, D.D.S.
• Bruce H Jones

• Chiropractor in Quincy, IL
• Providers in Quincy, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.