Individual provider Active NPI

Eulalia Darlene Johnson, DC

  • Chiropractor
  • Terrell, TX
National Provider Identifier
1821092719
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4677 Issued in TX
Practice address
1409 W Moore Ave
Terrell, TX 75160-2303
Phone
(972) 563-1557
Fax
(972) 563-1527
NPI assigned
Jun 8, 2005
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4677 TX Primary

Addresses

Primary practice location

1409 W Moore Ave
Terrell, TX 75160-2303

Mailing address

1409 W Moore Ave
Terrell, TX 75160-2303
Phone (972) 563-1557

Other identifiers 1

IdentifierTypeStateIssuer
001444101MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
DC4677TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Chiropractic Health Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

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

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1821092719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602303",
            "telephone_number": "972-563-1557",
            "fax_number": "972-563-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602303",
            "telephone_number": "972-563-1557",
            "fax_number": "972-563-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EULALIA",
        "middle_name": "DARLENE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC4677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001444101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.