Misty L. Johnson, D.C.
Individual provider Active NPI Chiropractor · Seminole, TX
NPI 1972584258 · NPPES record last updated Feb 4, 2022
Key facts
- NPI
- 1972584258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1469 (NM)
- Practice address
- 1004 Hobbs Hwy Ste 2
Seminole, TX 79360-3310 - Phone
- (575) 631-2352
- Fax
- (432) 201-3535
- NPI assigned
- Nov 14, 2005
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1469 | NM | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1469 | NM | Yes |
Addresses
Primary practice location
1004 Hobbs Hwy Ste 2
Seminole, TX 79360-3310
Mailing address
1004 Hobbs Hwy Ste 2
Seminole, TX 79360-3310
Phone (575) 631-2352
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012470 | Other | NM | CIGNA |
| 850463138 | Other | NM | FEDERAL ID |
| NMOOKK62 | Other | NM | BLUE CROSS AND BLUE SHIEL |
Other providers in Seminole, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.