Tyler Chase Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11906 Issued in TX

Practice address

9325 Tarver Dr
Ste C-102
Temple, TX 76502-6162

Phone

(806) 224-0063

Fax

(806) 771-5388

NPI assigned

Oct 17, 2011

Sex

Male

Sole proprietor

No

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Body, Mind & Spine Chiropractic LLC

  • Chiropractor
  • Temple, TX
  • NPI 1598336919
  Medicare reassignment NPD Authorized official
• JMJ Enterprises LLC

  • Preferred Provider Organization
  • Lubbock, TX
  • NPI 1669800942
  NPD (past)

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1871878298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 TARVER DR",
            "address_2": "STE C-102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026162",
            "telephone_number": "806-224-0063",
            "fax_number": "806-771-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 TARVER DR",
            "address_2": "STE C-102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026162",
            "telephone_number": "806-224-0063",
            "fax_number": "806-771-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TYLER",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milicent Cherisse Johnson, CPNP
• Raymond Johnson
• Shana Inez Johnson, LVN
• Susan Elizabeth Johnson, PHARMD
• Todd A Johnson, FNP-C
• Ilana Johnston
• Philip Johnston, RPH
• Susan E Johnston, DNP, RN, FNP-BC
• William Elliott Johnston, MD
• Tyler Virgil Jolley, DPM

• Chiropractor in Temple, TX
• Providers in Temple, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.