JOHNSON CHIROPRACTIC CLINIC (NPI# 1316035512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316035512 |
| Entity Type | Organization |
| Organization Name | JOHNSON CHIROPRACTIC CLINIC |
| Other Organization Name | JOHNSON CHIROPRACTIC CLINIC |
| Practice Address |
600 N Lincoln Ave Jerome ID 83338 |
| Practice Telephone | 2083243730 |
| Practice Fax Number | 2083245512 |
| Mailing Telephone | 2083243730 |
| Mailing Fax Number | 2083245512 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | DR. LAURA MARIE JOHNSON-STEVENSON (PRESIDENT) |
| Authorized Official Telephone | 2083243730 |
| Authorized Official Credential | BS DC CCEP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIRO 584 | ID | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE SHIELD OF IDAHO | 10019692 | 01 |
| ID | BLUE CROSS OF IDAHO | 8N046 | 01 |
| Other Name | Type Code |
|---|---|
| Johnson Chiropractic Clinic | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1063623189 | Johnson Chiropractic Clinic | Chiropractor | 22395 Us Highway 331 North, Paxton, FL 32538-0486 | 2007-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JOHNSON CHIROPRACTIC CLINIC, P.C. | 417 E Powell Blvd, Gresham, OR 97030 |
| Street Address |
600 N LINCOLN AVE |
| City | JEROME |
| State | ID |
| Zip Code | 83338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649357351 | Laura Marie Johnson Stevenson | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338-1850 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1811391626 | Summit Therapy Services | In Home Supportive Care | 113 East Ave. F, Jerome, ID 83338 | 2014-10-22 |
| 1952645285 | Readings Community Pharmacy Inc | Pharmacy | 133 West A, Jerome, ID 83338 | 2012-11-27 |
| 1801121298 | Yolanda S. Sedano | Physician Assistant | 132 5th Ave West, Jerome, ID 83338 | 2009-10-02 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1265527725 | Lon M. Egbert, P.C. | Specialist/Technologist | 128 5th Ave West, Jerome, ID 83338 | 2006-10-03 |
| 1992898605 | St Benedicts Family Medical Center | Home Health | 414 N Lincoln, Suite 1, Jerome, ID 83338 | 2006-10-02 |
| 1790231355 | Lexa Marie Balling | Pharmacist | 2680 S Lincoln Ave, Jerome, ID 83338 | 2016-09-01 |
| 1922037530 | St Benedicts Family Medical Center | Clinic/Center | 115 5th Ave W, Jerome, ID 83338-1824 | 2006-07-03 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| Find all providers in zip 83338 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245355205 | Mark Mcclain Saccoman | Chiropractor | 213 S Lincoln Ave, Jerome, ID 83338-2624 | 2007-03-20 |
| 1407367196 | Jerome Family Chiropractic | Chiropractor | 1100 N Lincoln Ave, Jerome, ID 83338-1856 | 2017-10-20 |
| 1427596238 | The Health Ranch, Inc. | Chiropractor | 1100 N Lincoln Ave, Jerome, ID 83338-1856 | 2017-02-01 |
| 1649357351 | Laura Marie Johnson Stevenson | Chiropractor | 600 N Lincoln Ave, Jerome, ID 83338-1850 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625488 | Cv Chiropractic Pllc | Chiropractor | 1201 E Gilbert Ave, Coeur D Alene, ID 83815-4958 | 2020-10-08 |
| 1780290981 | East Ridge Chiropractic, Pllc | Chiropractor | 1320 S Ammon Rd, Ammon, ID 83406-5810 | 2020-09-22 |
| 1124638143 | Madison J Wills | Chiropractor | 9196 W Emerald St Ste 120, Boise, ID 83704-8003 | 2020-08-04 |
| 1376161646 | Erena Martina Lanza | Chiropractor | 1224 1st St S Ste 304, Nampa, ID 83651-3963 | 2020-07-13 |
| 1285252619 | Kynan Tarnowski | Chiropractor | 16150 N High Desert St Ste 112, Nampa, ID 83687-5567 | 2020-07-13 |
| 1962027433 | Convergence Chiropractic Company | Chiropractor | 404 E Parkcenter Blvd Ste 170, Boise, ID 83706-7564 | 2020-06-10 |
| 1790300598 | Vancorp LLC | Chiropractor | 270 W Georgia Ave Ste 110, Nampa, ID 83686-2835 | 2020-06-08 |
| 1811519838 | Cody Wilhelm | Chiropractor | 1505 Madrona St N # 900c, Twin Falls, ID 83301-8318 | 2020-05-13 |
| 1467074559 | Amber R Dunford | Chiropractor | 3030 Glenbrook Dr, Hailey, ID 83333-7602 | 2020-05-11 |
| 1366071649 | Kevin Allen | Chiropractor | 237 N 2nd E Ste 106, Rexburg, ID 83440-4977 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.