Individual provider Active NPI

William Roch Johnston, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1982785853
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC21727 Issued in CA
Practice address
18124 Culver Drive
Suite G University Park Chiropractic
Irvine, CA 92612-2729
Phone
(949) 786-8802
Fax
(949) 786-8875
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC21727 CA Primary

Addresses

Primary practice location

18124 Culver Drive
Suite G University Park Chiropractic
Irvine, CA 92612-2729

Mailing address

18124 Culver Dr
Ste G University Park Chiropractic
Irvine, CA 92612-2729
Phone (949) 786-8802

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

LicenseStateTypeSpecialty
DC21727CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1982785853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18124 CULVER DR",
            "address_2": "STE G UNIVERSITY PARK CHIROPRACTIC",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122729",
            "telephone_number": "949-786-8802",
            "fax_number": "949-786-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18124 CULVER DRIVE",
            "address_2": "SUITE G UNIVERSITY PARK CHIROPRACTIC",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122729",
            "telephone_number": "949-786-8802",
            "fax_number": "949-786-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "WILLIAM",
        "middle_name": "ROCH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.