Individual provider Active NPI

Arthur John Johnson, D.C.

  • Chiropractor
  • Auburn, IN
National Provider Identifier
1912995234
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
IN08001659 Issued in IN
Practice address
460 N Grandstaff Dr
Auburn, IN 46706-1659
Phone
(260) 925-6686
Fax
(260) 925-6689
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IN08001659 IN Primary
Acupuncturist 171100000X 81000044A IN

Addresses

Primary practice location

460 N Grandstaff Dr
Auburn, IN 46706-1659

Mailing address

460 N Grandstaff Dr
Auburn, IN 46706-1659
Phone (260) 925-6686

Other identifiers 2

IdentifierTypeStateIssuer
000000091343OtherINANTHEM/BC BS
5680124OtherINAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000551 IN Practitioner - Chiropractic 8123207941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Associates, P.C.Group PAC ID 7618156423, 2 clinicians

Practice addresses (Care Compare)

705 N Grandstaff Dr
Auburn, IN 46706-1676
Phone (260) 925-6686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IN08001659INMDChiropractor
81000044AINMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Associates, P.C. Chiropractor CurrentSince Feb 28, 1996 Accepting new patients

Locations

705 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 925-6686

460 N Grandstaff Dr
Auburn, IN 46706
Phone (260) 925-6686

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1912995234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N GRANDSTAFF DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061659",
            "telephone_number": "260-925-6686",
            "fax_number": "260-925-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N GRANDSTAFF DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467061659",
            "telephone_number": "260-925-6686",
            "fax_number": "260-925-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ARTHUR",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "IN08001659",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "81000044A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BC BS",
            "identifier": "000000091343",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5680124",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.