Johnson Chiropractic Center, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JOHNSON CHIROPRACTIC CENTER, PC

Doing business as

North East Texas Clinic of Chiropractic

Practice address

4614 S 14TH St
Abilene, TX 79605-4735

Phone

(325) 695-5220

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Stephen C JohnsonNPI 1326210030

Title

Owner

Phone

(325) 695-5220

Specialties & licenses 1

Addresses

Other names 1

• North East Texas Clinic of Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Johnson Chiropractic Center, PC

  • Chiropractor
  • Paris, TX
  • NPI 1619221082

  O20121211000083

  Same enrollment

Locations

Practitioners 3

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

• Stephen C Johnson, DC

  • Chiropractor
  • Abilene, TX
  • NPI 1326210030
  Medicare reassignment Authorized official
• Terry L Daley, DC

  • Chiropractor
  • Abilene, TX
  • NPI 1639170012
  NPD (past)
• Walter Kenneth Mansfield, DC

  • Chiropractor
  • Abilene, TX
  • NPI 1942304340
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1881128148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 S 14TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054735",
            "telephone_number": "325-695-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S 14TH ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054735",
            "telephone_number": "325-695-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-695-5220"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North East Texas Clinic of Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinita Jobes
• Joe Ronald Cannon
• John H. Judd, MD, PA
• John L. Estes III DDS Inc
• Richard P Johnsen, DMD
• Johnson Dental Group PLLC
• Amalyssa J Johnson, PH.D.
• Brianna Marie Johnson, LMSW
• Calina Mishay Johnson, BCBA
• Cheryl Corpuz Johnson, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.