Individual provider Active NPI

William James Johnson, DC

  • Chiropractor
  • Santa Clarita, CA
National Provider Identifier
1730221425
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13806 Issued in CA
Practice address
26111 Bouquet Cyn. Rd. G-3
Santa Clarita, CA 91350-3712
Phone
(661) 255-8099
Fax
(661) 254-0824
NPI assigned
Feb 12, 2007
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC13806 CA Primary

Addresses

Primary practice location

26111 Bouquet Cyn. Rd. G-3
Santa Clarita, CA 91350-3712

Mailing address

19022 Avenue of the Oaks
Santa Clarita, CA 91321-1444
Phone (661) 296-1291

Other identifiers 1

IdentifierTypeStateIssuer
DC13806OtherCALICENSE NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1730221425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19022 AVENUE OF THE OAKS",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913211444",
            "telephone_number": "661-296-1291",
            "fax_number": "661-254-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26111 BOUQUET CYN. RD. G-3",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503712",
            "telephone_number": "661-255-8099",
            "fax_number": "661-254-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC13806",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.