Jerry Lee Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2626 Issued in OK

Practice address

11914 N Pennsylvania Ave Ste B3
Oklahoma City, OK 73120-7831

Phone

(405) 752-8819

Fax

(405) 751-1238

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Johnson Family Chiropractic Clinic PC

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1437287778
  NPD Authorized official
• Johnson Family Chiropractic Clinic

  • Preferred Provider Organization
  • Oklahoma City, OK
  • NPI 1518316272
  NPD (past) Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1730260829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 N PENNSYLVANIA AVE STE B6",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207831",
            "telephone_number": "405-752-8819",
            "fax_number": "405-751-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 N PENNSYLVANIA AVE STE B3",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207831",
            "telephone_number": "405-752-8819",
            "fax_number": "405-751-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jami Johnson, PHARMD
• Jasmine M Johnson
• Jawan M Johnson
• Jeremy Johnson
• Jeremy J Johnson, MD
• Jessica Danelle Johnson
• Jessica Marie Johnson, MD
• Jessica Maris Johnson, RN
• Jewel E. Johnson, M.ED, M.S.
• Jill Brittny Johnson

• Chiropractor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.