DR. ROBERT O. JOHNSON (NPI# 1518169366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518169366 |
| Entity Type | Individual |
| Full Name | DR. ROBERT O. JOHNSON |
| Credential | D.C. |
| Practice Address |
2131 Nw Fillmore Ave Corvallis OR 97330-5624 |
| Practice Telephone | 5417537262 |
| Mailing Telephone | 5417537262 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 27 2722 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | STATE LICENSE | 27 2722 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774690 | Robert T Johnson | Massage Therapist | 4717 W 160th St, Lawndale, CA 90260-2505 | 2020-09-14 |
| 1053945352 | Robert Leroy Johnson | Technician | 29 Tucker Rd, Hardy, AR 72542-9115 | 2020-02-25 |
| 1205467206 | Robert L Johnson | Counselor | 403 Best Friends Turn Aly, Mcdonough, GA 30252-4844 | 2020-01-28 |
| 1548808439 | Robert Mathew Johnson | Nurse Practitioner | 4898 Erin Ln, Melbourne, FL 32940-7156 | 2019-12-11 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1942770060 | Robert Terry Johnson | Behavior Technician | 6591 Reflection Dr, San Diego, CA 92124-3119 | 2018-12-01 |
| 1992280135 | Robert Johnson | Home Health | 3550 Minnesota Ave Se, Washington, DC 20019-8215 | 2018-10-02 |
| 1154825503 | Robert Edward Johnson IIi | Student in an Organized Health Care Education/Training Program | University of Washington, Department of Oral Surgery, 1959 Ne Pacific Street, Seattle, WA 98105 | 2018-03-21 |
| 1932625704 | Robert Johnson | Driver | 101 Joanis Dr, Danville, VA 24540-5855 | 2017-08-14 |
| 1326580986 | Robert Alan Johnson | Counselor | 5920 Se Coyote Dr, Topeka, KS 66619-1429 | 2016-11-14 |
| Street Address |
2131 NW FILLMORE AVE |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-5624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| 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 |
|---|---|---|---|---|
| 1851636732 | Matthew Alan Daniel | Chiropractor | 1646 Se Crystal Lake Dr, Apt B, Corvallis, OR 97333-1272 | 2012-12-04 |
| 1720384126 | Kevin M Ross | Chiropractor | 408 Nw 7th Street, Corvallis, OR 97330 | 2011-02-01 |
| 1659601177 | William Joseph O'donnell Jr. | Chiropractor | 107 Sw 2nd St, Corvallis, OR 97333-4715 | 2010-01-06 |
| 1992960322 | Edward Elgin Koen Jr. | Chiropractor | 634 Nw 4th St, Corvallis, OR 97330-6413 | 2008-07-24 |
| 1699982850 | Mark E Schroering | Chiropractor | 685 Nw 5th Street, Ste B, Corvallis, OR 97330 | 2007-05-17 |
| 1770701781 | Robert Hoyt | Chiropractor | 595 Sw Washington Ave, Corvallis, OR 97333-4313 | 2007-04-23 |
| 1497970933 | Virginia Harvey Shapiro | Chiropractor | 915 Nw 36th St, Corvallis, OR 97330-2327 | 2007-04-17 |
| 1780710228 | Holland Chiropractic & Rehabilitation Therapy, P.C. | Chiropractor | 929 Nw Grant Ave, Corvallis, OR 97330-4503 | 2007-02-27 |
| 1295876415 | Daniel Joseph Lach | Chiropractor | 2296 Nw Kings Boulevard Ste 101, Corvallis, OR 97330-3871 | 2007-02-09 |
| 1134285760 | David Lawrence | Chiropractor | 1600 Sw Western Blvd, Suite 120, Corvallis, OR 97333-4067 | 2006-12-28 |
| Find all providers in CORVALLIS | ||||
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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.