Individual provider Active NPI

Devin D Johnson, DC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1972009322
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1949 Issued in NE
Practice address
8300 Old Cheney Rd Ste B
Lincoln, NE 68516-3540
Phone
(402) 483-4646
Fax
(402) 483-4649
NPI assigned
Apr 4, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1949 NE Primary

Addresses

Primary practice location

8300 Old Cheney Rd Ste B
Lincoln, NE 68516-3540

Mailing address

8300 Old Cheney Rd Ste B
Lincoln, NE 68516-3540
Phone (402) 483-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180910000437 MO Practitioner - Chiropractic 2567712714 Reassigns benefits to 2 organizations
I20240618002893 NE Practitioner - Chiropractic 2567712714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8300 Old Cheney Rd
Suite B
Lincoln, NE 68516-3540
Phone (402) 483-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Koelling Family Chiropractic, PC Chiropractor CurrentSince Jul 31, 2018 Accepting new patients
Cooksley Family Chiropractic PC Chiropractor CurrentSince Apr 21, 2024 Accepting new patients
Koelling Family Chiropractic Jeffcity Chiropractor CurrentSince Jul 21, 2019 Accepting new patients
DJ Chiropractic LLC Chiropractor CurrentSince Jan 1, 2022 Accepting new patients

Locations

621 Commons Dr
Fulton, MO 65251
Phone (573) 642-2273

3702 W Truman Blvd
Ste 218
Jefferson City, MO 65109
Phone (573) 310-9391

8300 Old Cheney Rd
Ste B
Lincoln, NE 68516
Phone (402) 483-4646

Organizations & group practices 4

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1972009322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 OLD CHENEY RD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163540",
            "telephone_number": "402-483-4646",
            "fax_number": "402-483-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 OLD CHENEY RD STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163540",
            "telephone_number": "402-483-4646",
            "fax_number": "402-483-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEVIN",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.