Johnson Chiropractic Center, LLC
NPI 1154811412ActiveOrganization· Chiropractor· Fayetteville, AR
Chiropractor in Fayetteville, Arkansas, registered in NPPES in May 2018. The authorized official on file is Brock Johnson, D.C., Owner, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154811412 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2018 |
| Last updated in NPPES | Nov 10, 2022 |
| Certified by provider | Nov 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 16072 | AR |
| Chiropractor, Rehabilitation | 111NR0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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