Individual provider Active NPI

Madeline Claire Johnston, D.C.

  • Chiropractor
  • Addison, TX
National Provider Identifier
1790728897
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8594 Issued in TX
Practice address
4540 Belt Line Rd
Addison, TX 75001-4515
Phone
(972) 789-9333
Fax
(972) 789-9557
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8594 TX Primary

Addresses

Primary practice location

4540 Belt Line Rd
Addison, TX 75001-4515

Mailing address

4540 Belt Line Rd
Addison, TX 75001-4515
Phone (972) 789-9333

Other identifiers 4

IdentifierTypeStateIssuer
8U7030OtherTXBLUECROSS INDIVIDUAL #
606069OtherTXBC/BS YEARS 2000-2005
8594OtherTXCHIROPRACTIC LICENSE
0097NCOtherTXBLUE CROSS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000440 TX Practitioner - Chiropractic 2769431295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4540 Belt Line Rd
Addison, TX 75001-4515
Phone (972) 789-9333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8594TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Addison Chiropractic, PA Chiropractor CurrentSince Aug 1, 2000 Accepting new patients

Locations

4540 Belt Line Rd
Addison, TX 75001
Phone (972) 789-9333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1790728897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 BELT LINE RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014515",
            "telephone_number": "972-789-9333",
            "fax_number": "972-789-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 BELT LINE RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014515",
            "telephone_number": "972-789-9333",
            "fax_number": "972-789-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MADELINE",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS INDIVIDUAL #",
            "identifier": "8U7030",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS YEARS 2000-2005",
            "identifier": "606069",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "8594",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0097NC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.