Professional Chiropractic Office LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1689 Issued in CO

Legal business name

PROFESSIONAL CHIROPRACTIC OFFICE LLC

Doing business as

Professional Chiropractic Office LLC

Practice address

1919 65TH Ave Unit a
Greeley, CO 80634-7965

Phone

(970) 353-5300

Fax

(970) 353-5332

NPI assigned

Feb 25, 2008

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tanner Colby Johnson, DCNPI 1285039321

Title

Managing Member

Phone

(970) 580-1463

Specialties & licenses 1

Addresses

Other names 1

• Professional Chiropractic Office LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Tanner Colby Johnson, D.C.

  • Chiropractor
  • Greeley, CO
  • NPI 1285039321
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1902075898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 65TH AVE UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347965",
            "telephone_number": "970-353-5300",
            "fax_number": "970-353-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 65TH AVE UNIT A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347965",
            "telephone_number": "970-353-5300",
            "fax_number": "970-353-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CHIROPRACTIC OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TANNER",
        "authorized_official_middle_name": "COLBY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "970-580-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Chiropractic Office LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janelle Renea Printz, AGACNP-BC
• Lauren Elizabeth Prior, LPC
• Christine Priselac
• Nicole Pritchard, LPCC
• Private Healthcare Facilities
• Professional Pharmacy Services (Good Day Pharmacy #14)
• Professional Pharmacy Services, Inc. (Good Day Pharmacy)
• Taylor Propes, RBT
• Abigail Prow
• Shayne Prudish

• Chiropractor in Greeley, CO
• Providers in Greeley, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.