Organization Active NPI

Johnson Chiropractic Clinic Inc

  • Chiropractor
  • Rosenberg, TX
National Provider Identifier
1790835403
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2838 Issued in TX
Legal business name
JOHNSON CHIROPRACTIC CLINIC INC
Practice address
1417 Carlisle St
Rosenberg, TX 77471-3320
Phone
(281) 342-2603
Fax
(281) 342-9603
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Marc Anthony Johnson, DC
Title
Doctor of Chiropractic
Phone
(281) 342-2603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2838 TX Primary

Addresses

Primary practice location

1417 Carlisle St
Rosenberg, TX 77471-3320

Mailing address

1417 Carlisle St
Rosenberg, TX 77471-3320
Phone (281) 342-2603

National Provider Directory

National Provider Directory

Locations

1417 Carlisle St
Rosenberg, TX 77471
Phone (281) 342-2603

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1790835403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 CARLISLE ST",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713320",
            "telephone_number": "281-342-2603",
            "fax_number": "281-342-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 CARLISLE ST",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774713320",
            "telephone_number": "281-342-2603",
            "fax_number": "281-342-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "281-342-2603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosenberg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.