Individual provider Active NPI

Daniel Brent Johnston, DC DOCTOR OF CHIROPR

  • Chiropractor
  • Wenatchee, WA
National Provider Identifier
1861531261
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002217 Issued in WA
Practice address
416 9TH St
Wenatchee, WA 98801-1503
Phone
(509) 662-9571
Fax
(509) 662-6982
NPI assigned
Feb 5, 2007
Last updated
Jun 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002217 WA Primary

Addresses

Primary practice location

416 9TH St
Wenatchee, WA 98801-1503

Mailing address

416 9TH St
Wenatchee, WA 98801-1503
Phone (509) 662-9571

Other identifiers 3

IdentifierTypeStateIssuer
8346066MedicaidWA
158239OtherWAWA DEPT OF LABOR & INDUST
350055357OtherWARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000265 WA Practitioner - Chiropractic 1658261524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

416 9TH St
Wenatchee, WA 98801-1503

620 N Emerson Ave
Suite 102
Wenatchee, WA 98801-6619
Phone (509) 662-2161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00002217WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Biggar Chiropractic Center PS Chiropractor CurrentSince Jul 1, 2009 Accepting new patients
Johnston Chiropractic Center, Inc P.S. Chiropractor CurrentSince Apr 1, 2001 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1861531261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 9TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011503",
            "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": "416 9TH ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011503",
            "telephone_number": "509-662-9571",
            "fax_number": "509-662-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DANIEL",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DC DOCTOR OF CHIROPR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346066",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR & INDUST",
            "identifier": "158239",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350055357",
            "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 Jun 13, 2013; 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.