Individual provider Active NPI

Jeffrey Scott Johnson, D.C., D.A.C.N.B.

  • Sports Physician Chiropractor
  • Danville, CA
National Provider Identifier
1912073073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC24925 Issued in CA
Practice address
115 Town and Country Dr
Suite E
Danville, CA 94526-3960
Phone
(925) 743-8210
Fax
(925) 743-8213
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC24925 CA Primary

Addresses

Primary practice location

115 Town and Country Dr
Suite E
Danville, CA 94526-3960

Mailing address

115 Town and Country Dr
Suite E
Danville, CA 94526-3960
Phone (925) 743-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC24925CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Chiropractic Group, Inc. Sports Physician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912073073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TOWN AND COUNTRY DR",
            "address_2": "SUITE E",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263960",
            "telephone_number": "925-743-8210",
            "fax_number": "925-743-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TOWN AND COUNTRY DR",
            "address_2": "SUITE E",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263960",
            "telephone_number": "925-743-8210",
            "fax_number": "925-743-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.C.N.B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC24925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.