Paul Robert Johnson Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

719 Issued in SC

Practice address

1741 Blue Ridge Blvd
Seneca, SC 29672-6613

Phone

(864) 882-6395

Fax

(864) 882-9248

NPI assigned

Aug 15, 2006

Last updated

Oct 5, 2011By 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 SC

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Bountyland Medical Center LLC

  • Chiropractor
  • Seneca, SC
  • NPI 1689779688
  Medicare reassignment NPD Authorized official
• Bounty Land Medical Centers LLC

  dba Bountyland Chiropractic

  • Chiropractor
  • Seneca, SC
  • NPI 1699637710
  NPD

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1861405052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 BLUE RIDGE BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726613",
            "telephone_number": "864-882-6395",
            "fax_number": "864-882-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 BLUE RIDGE BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726613",
            "telephone_number": "864-882-6395",
            "fax_number": "864-882-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Frances Johnson, PTA
• Jessica Lynn Johnson, DO
• John Alexander Johnson, M.D.
• Kristy Johnson, NP
• Mills Johnson
• Tonya L Johnson
• Jones Family Chiropractic Clinic LLC
• James Patrick Jones, D.C.
• Jessica Jones
• Lena Marie Jones, REGISTERED NURSE

• Chiropractor in Seneca, SC
• Providers in Seneca, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.