Active NPI
Kory Johnson, D.C.
- Chiropractor
- Pensacola, FL
National Provider Identifier
1720490865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH12344
- Practice address
- 8124 Pensacola Blvd
Pensacola, FL 32534-4354 - Phone
- (417) 234-7861
- NPI assigned
- May 23, 2014
- Last updated
- Jul 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2014015304 | MO | |
| Chiropractor | 111N00000X | 1352 | HI | |
| Chiropractor | 111N00000X | CH12344 | FL | Primary |
Addresses
Primary practice location
8124 Pensacola Blvd
Pensacola, FL 32534-4354
Mailing address
8124 Pensacola Blvd
Pensacola, FL 32534-4354
Phone (417) 234-7861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8124 Pensacola Blvd
Pensacola, FL 32534-4354
Phone (850) 476-7117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH12344 | FL | MD | Chiropractor |
| 1352 | HI | MD | Chiropractor |
| 2014015304 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Family Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
| Red Valley Chiropractic and Massage Inc | Chiropractor | Past | Accepting new patients |
Locations
8124 Pensacola Blvd
Pensacola, FL 32534
Phone (850) 476-7117
Organizations & group practices 2
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.
-
- Chiropractor
- Pensacola, FL
- NPI 1285950113
-
dba Moab Family Chiropractic
- Chiropractor
- Moab, UT
- NPI 1821472168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1720490865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8124 PENSACOLA BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325344354",
"telephone_number": "417-234-7861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8124 PENSACOLA BLVD",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325344354",
"telephone_number": "417-234-7861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KORY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-23",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2014015304",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1352",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH12344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.