Matthew Michael Johnson I, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

32728 Issued in CA

Practice address

12233 Ranch Road 620 North #107
Austin, TX 78750

Phone

(512) 331-9999

Fax

(714) 921-2546

NPI assigned

Oct 1, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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 and National Provider Directory roles.

• Elite Health of North Austin

  • Chiropractor
  • Austin, TX
  • NPI 1679168165
  Medicare reassignment NPD Authorized official
• CCH Chiropractic PC

  • Chiropractor
  • Austin, TX
  • NPI 1922211077
  NPD
• April Lopez Chiropractic. a Professional Corporation

  • Rehabilitation Chiropractor
  • Orange, CA
  • NPI 1255452835
  NPD (past)

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1871920256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12233 RANCH ROAD 620 NORTH #107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "512-331-9999",
            "fax_number": "714-921-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12233 RANCH ROAD 620 NORTH #107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78750",
            "telephone_number": "512-331-9999",
            "fax_number": "714-921-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557041",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Roxie Johnson
• Marissa Johnson, PA-C
• Marlon C Johnson, LPC, LPC-MHSP, NCC
• Mary Johnson, M.D.
• Matthew Johnson, LAT, ATC
• Morgan Johnson, MA, LPC (#75601)
• Natalie Johnson, RDN
• Neal Douglas Johnson, M.D.
• Paige Elizabeth Johnson, LCSW
• Patricia Johnson, LPC-A, M.A., M.ED.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.