Active NPI
Keri Johnson, DC
- Chiropractor
- Camarillo, CA
National Provider Identifier
1992974745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29451
- Practice address
- 45 Rincon Dr
Executive Suite 103-1B
Camarillo, CA 93012-8413 - Phone
- (805) 987-6700
- Fax
- (805) 987-6733
- NPI assigned
- Feb 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | DC29451 | CA | Primary |
Addresses
Primary practice location
45 Rincon Dr
Executive Suite 103-1B
Camarillo, CA 93012-8413
Mailing address
8081 Holland Dr Apt 18D
Huntington Beach, CA 92647-6387
Phone (714) 507-8267
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29451 | CA | MD | Chiropractor |
| 29451 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1992974745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8081 HOLLAND DR APT 18D",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926476387",
"telephone_number": "714-507-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 RINCON DR",
"address_2": "EXECUTIVE SUITE 103-1B",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128413",
"telephone_number": "805-987-6700",
"fax_number": "805-987-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KERI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-26",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.