Johnson Family Chiropractic & Sports Clinic PLLC
NPI 1679058093ActiveOrganization· Chiropractor· Pocatello, ID
Chiropractor in Pocatello, Idaho, registered in NPPES in October 2018. The authorized official on file is Gary L. Johnson, DC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679058093 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2018 |
| Last updated in NPPES | Oct 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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