Jay Christopher Johannsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06460 Issued in IA

Practice address

2550 Middle Rd Ste 400
Bettendorf, IA 52722

Phone

(563) 359-4203

Fax

(563) 345-4099

NPI assigned

Jan 29, 2006

Last updated

Aug 13, 2018By the provider in NPPES

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

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Health Systems Inc

  • Chiropractor
  • Bettendorf, IA
  • NPI 1992256754
  Medicare reassignment NPD Authorized official
• Elite Health Systems Inc

  • Physical Therapist
  • Bettendorf, IA
  • NPI 1942536768
  Authorized official Same address or phone
• Healthwise Chiropractic Center, LLC

  • Chiropractor
  • Bettendorf, IA
  • NPI 1487892709
  NPD (past)

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1801867866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 400",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223288",
            "telephone_number": "563-359-4203",
            "fax_number": "563-345-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD STE 400",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-359-4203",
            "fax_number": "563-345-4099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2393 Cumberland Square Dr",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527223251",
            "country_code": "US",
            "telephone_number": "563-359-4203",
            "fax_number": "563-345-4099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "JAY",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Streets Gladwin, LLC
• Daniel E Jens, LISW
• William P Jerome, MD
• Brooke Jewell
• Nancy K Jipp, A.R.N.P.
• Johnson Chiropractic
• Johnson Eyecare, P.C.
• Julie Ann Jones, OTD, OTR/L, BCP
• Linda S Jones, MSED LMHC LPC CEAP
• Joshua T Pogue DMD PC (Pleasant Valley Dentistry)

• Chiropractor in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.