Chanceller Cortez Johnson, B.S., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3077 Issued in TN

Practice address

5695 Quince Rd
Memphis, TN 38119-7017

Phone

(901) 767-6727

NPI assigned

Nov 28, 2017

Last updated

Nov 28, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Johnson Chiropractic

  • Chiropractor
  • Memphis, TN
  • NPI 1063812949
  NPD (past)

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1912411976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197017",
            "telephone_number": "901-767-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381197017",
            "telephone_number": "901-767-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHANCELLER",
        "middle_name": "CORTEZ",
        "name_prefix": "Dr.",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Denise Johnson
• Brandi M Johnson, RD, LD
• Brent Corin Johnson, DDS
• Briania Johnson
• Carolyn Michelle Johnson
• Charlene Winfield Johnson, MSSW
• Chloe Trace Johnson, PHARMD
• Christopher E Johnson, MD
• Christopher Jerome Johnson
• Cierra Mone'T Johnson

• Chiropractor in Memphis, TN
• Providers in Memphis, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.