Organization Active NPI

Jeffery CM Johnson DC LLC

  • Chiropractor
  • Joplin, MO
National Provider Identifier
1942570536
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1999134933 Issued in MO
Legal business name
JEFFERY CM JOHNSON DC LLC
Practice address
1420 S Joplin Ave
Joplin, MO 64801-4524
Phone
(417) 623-8844
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Jeffery Johnson, DCNPI 1912023094
Title
Chiropractor
Phone
(417) 623-8844

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1999134933 MO Primary

Addresses

Primary practice location

1420 S Joplin Ave
Joplin, MO 64801-4524

Mailing address

1420 S Joplin Ave
Joplin, MO 64801-4524
Phone (417) 623-8844

National Provider Directory

National Provider Directory

Locations

1420 S Joplin Ave
Joplin, MO 64801
Phone (417) 623-0330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1942570536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014524",
            "telephone_number": "417-623-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S JOPLIN AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014524",
            "telephone_number": "417-623-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY CM JOHNSON DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "417-623-8844",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "1999134933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.