John Robert Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1168 Issued in LA

Practice address

105 Warner St
Leesville, LA 71446-2821

Phone

(337) 238-0027

Fax

(337) 238-0227

NPI assigned

Jun 2, 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

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Deep South Chiropractic ClinicGroup PAC ID 7012082365, 2 clinicians

Practice addresses (Care Compare)

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.

• Deep South Chiropractic Clinic

  • Chiropractor
  • Leesville, LA
  • NPI 1467496125
  Medicare reassignment Care Compare group NPD Authorized official
• Great South Management LLC

  dba DeRidder Chiropractic

  • Chiropractor
  • Deridder, LA
  • NPI 1366470114
  NPD (past) Authorized official
• Great South Management LLC

  dba Deep South Chiropractic Clinic 2

  • Chiropractor
  • Leesville, LA
  • NPI 1497675656
  NPD (past) Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1831137157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARNER ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714462821",
            "telephone_number": "337-238-0027",
            "fax_number": "337-238-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARNER ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714462821",
            "telephone_number": "337-238-0027",
            "fax_number": "337-238-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Beth Jackson, RSW
• Whitney Jackson
• Tracy Jacobs, FNP
• Crista Jeane
• Joe Hundley Rankin MD a Prof Medical Corp
• Kimberly Johnson
• Lynn Johnson, RPH
• Jaquita Gwynn Jordan, M.A., L.P.C.
• Zelissa Raychel Joseph, O.T.R.
• Jessica Julian, FNP-BC

• Chiropractor in Leesville, LA
• Providers in Leesville, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.