DR. JERRY LEE JOHNSON (NPI# 1730260829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730260829 |
| Entity Type | Individual |
| Full Name | DR. JERRY LEE JOHNSON |
| Credential | D.C. |
| Practice Address |
11914 N Pennsylvania Ave Ste B3 Oklahoma City OK 73120-7831 |
| Mailing Address |
11914 N Pennsylvania Ave Ste B6 Oklahoma City OK 73120-7831 |
| Practice Telephone | 4057528819 |
| Practice Fax Number | 4057511238 |
| Mailing Telephone | 4057528819 |
| Mailing Fax Number | 4057511238 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2626 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629454897 | Jerry Johnson | Pharmacist | 4004 Lake Adger Pkwy, Mill Spring, NC 28756-4800 | 2015-08-10 |
| 1487721858 | Jerry L Johnson | Obstetrics & Gynecology | 503 S John Redditt Dr, Lufkin, TX 75904-3120 | 2006-11-29 |
| 1780779140 | Jerry Allen Johnson | Physician Assistant | 1201 Sam Bass Road, Round Rock, TX 78681-4137 | 2006-10-03 |
| 1003907817 | Jerry Lee Johnson | Chiropractor | 4312 Mormon Coulee Rd, La Crosse, WI 54601-7908 | 2006-09-27 |
| 1346253499 | Jerry N Johnson | Chiropractor | 1502 E Belt Line Rd, Carrollton, TX 75006-6307 | 2006-08-13 |
| 1316975568 | Jerry Lee Johnson | Dentist | 1316 Mcmillan St, Worthington, MN 56187-1646 | 2006-06-28 |
| 1871584565 | Jerry Alan Johnson | Dentist | 2295 E Washington Blvd, Pasadena, CA 91104-1944 | 2005-11-02 |
| 1952305351 | Jerry H Johnson | Dentist | 1277 Highway 411, Vonore, TN 37885-2456 | 2005-06-13 |
| 1962057802 | Jerry Michael Johnson | Pharmacist | 311 S Avenue D, Burkburnett, TX 76354-3541 | 2019-08-07 |
| 1144704248 | Jerry Johnson | Case Manager/Care Coordinator | 6701 Highway 67, Benton, AR 72015-8909 | 2018-09-24 |
| Street Address |
11914 N PENNSYLVANIA AVE STE B3 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437287778 | Johnson Family Chiropractic Clinic PC | Chiropractor | 11914 N Pennsylvania Ave Ste B3, Oklahoma City, OK 73120-7831 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| 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 |
|---|---|---|---|---|
| 1083222715 | Chirothere, LLC | Chiropractor | 4416 N Western Ave Ste 205b, Oklahoma City, OK 73118-5256 | 2020-07-20 |
| 1790315547 | Kyle Brent Babcock | Chiropractor | 4900 Richmond Sq Ste 108, Oklahoma City, OK 73118-2043 | 2020-01-21 |
| 1518506310 | Daniel S Holt | Chiropractor | 13838 Quail Pointe Dr Ste A, Oklahoma City, OK 73134-1003 | 2019-12-27 |
| 1982168167 | Young Life Chiropractic Pllc | Chiropractor | 600 Nw 23rd St Ste 102, Oklahoma City, OK 73103-1464 | 2019-01-22 |
| 1134692973 | Gregory S Mendiaz | Chiropractor | 13325 N Macarthur Blvd Ste 5, Oklahoma City, OK 73142-3091 | 2019-01-04 |
| 1528536034 | Aaron Burk | Chiropractor | 2563 W Memorial Rd, Oklahoma City, OK 73134-8030 | 2018-11-02 |
| 1003383829 | Dana Denise Mahan | Chiropractor | 2316 Sw 102nd St, Oklahoma City, OK 73159-7539 | 2018-10-30 |
| 1225504459 | Dme Orthotics, LLC | Chiropractor | 10802 Quail Plaza Dr Ste 300b, Oklahoma City, OK 73120-3122 | 2018-10-15 |
| 1063998128 | Blake Alan Matlock | Chiropractor | 8901 S Santa Fe Ave Ste A, Oklahoma City, OK 73139-8413 | 2018-07-12 |
| 1518464833 | Focus Chiropractic Pllc | Chiropractor | 9101 S Western Ave Ste 112, Oklahoma City, OK 73139-2757 | 2018-04-12 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on DR. JERRY LEE JOHNSON.
| 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.