Active NPI
Justin Blake Johnson, DC
- Chiropractor
- Richardson, TX
National Provider Identifier
1952265779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 16714
- Practice address
- 810 N Plano Rd Ste 230
Richardson, TX 75081-3854 - Phone
- (972) 907-2800
- Fax
- (972) 907-2801
- NPI assigned
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 16714 | TX | Primary |
Addresses
Primary practice location
810 N Plano Rd Ste 230
Richardson, TX 75081-3854
Mailing address
3200 McKinney Ave Apt 629
Dallas, TX 75204-3027
Phone (972) 907-2800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16714 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richardson Integrated Health | Chiropractor | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1952265779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 MCKINNEY AVE APT 629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752043027",
"telephone_number": "972-907-2800",
"fax_number": "972-907-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N PLANO RD STE 230",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750813854",
"telephone_number": "972-907-2800",
"fax_number": "972-907-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUSTIN",
"middle_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-15",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "16714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.