Organization Active NPI

Johnson Chiropratic LLC

Doing business as Johnson Chiropractic

  • Chiropractor
  • Buffalo, WY
National Provider Identifier
1891021143
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
592 Issued in WY
Legal business name
JOHNSON CHIROPRATIC LLC
Doing business as
Johnson Chiropractic
Practice address
950 W Fetterman St
Buffalo, WY 82834-2413
Phone
(307) 684-8888
Fax
(307) 684-8882
NPI assigned
Oct 21, 2009
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
James L. Johnson Jr., D.C.NPI 1902873193
Title
Owner
Phone
(307) 684-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 592 WY Primary

Addresses

Primary practice location

950 W Fetterman St
Buffalo, WY 82834-2413

Mailing address

PO Box 423
Buffalo, WY 82834-0423
Phone (307) 684-8888

Other names 1

  • Johnson Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091120000005 WY Part B Supplier - Clinic/Group Practice 4789723396 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, WY

National Provider Directory

National Provider Directory

Locations

66 N Lobban Ave
Buffalo, WY 82834
Phone (307) 684-8888

950 W Fetterman St
Buffalo, WY 82834
Phone (307) 670-3352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1891021143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828340423",
            "telephone_number": "307-684-8888",
            "fax_number": "307-684-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W FETTERMAN ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828342413",
            "telephone_number": "307-684-8888",
            "fax_number": "307-684-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CHIROPRATIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-684-8888",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.