NPIMap

Organization Active NPI

Johnston Chiropractic Center, Inc P.S.

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1831238245
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
600405811 Issued in WA
Legal business name
JOHNSTON CHIROPRACTIC CENTER, INC P.S.
Practice address
501 Idaho Street
Wenatchee, WA 98801-2841
Phone
(509) 662-9571
Fax
(509) 662-6982
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Mr. Daniel B. Johnston, D.C.NPI 1861531261
Title
Owner
Phone
(509) 662-9571

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 600405811 WA Primary

Addresses

Primary practice location

501 Idaho Street
Wenatchee, WA 98801-2841

Mailing address

501 Idaho Street
Wenatchee, WA 98801-2841
Phone (509) 662-9571

Other identifiers 3

IdentifierTypeStateIssuer
0040390OtherWAWA DEPT OF LABOR & INDUST
2459907MedicaidWA
469282OtherWARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301001119 WA Part B Supplier - Clinic/Group Practice 0941197347 Receives reassigned benefits from 1 practitioner
Practice locations: Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

501 Idaho St
Wenatchee, WA 98801
Phone (509) 662-9571

416 9th St
Wenatchee, WA 98801
Phone (509) 662-2161

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1831238245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 IDAHO STREET",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012841",
            "telephone_number": "509-662-9571",
            "fax_number": "509-662-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IDAHO STREET",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012841",
            "telephone_number": "509-662-9571",
            "fax_number": "509-662-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON CHIROPRACTIC CENTER, INC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-662-9571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "600405811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR & INDUST",
            "identifier": "0040390",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2459907",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "469282",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.