MARY JO JOHNSON (NPI# 1851383491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851383491 |
| Entity Type | Individual |
| Full Name | MARY JO JOHNSON |
| Credential | DC |
| Practice Address |
1305 W 96th St Suite C Indianapolis IN 46260-1192 |
| Practice Telephone | 3175809867 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001438A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BCBS | 000000189532 | 01 |
| IN | ACN | 645867 | 01 |
| IN | 100216510A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326101536 | Mary Jo Johnson | Social Worker | 6223 N Canton Center Rd, Suite 210, Canton, MI 48187-2696 | 2006-12-18 |
| Street Address |
1305 W 96TH ST SUITE C |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518161744 | Chiropractic and Wellness Center, PC | Chiropractor | 1305 W 96th St, Suite C, Indianapolis, IN 46260-1192 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| 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 |
|---|---|---|---|---|
| 1235737552 | Molly Vyzral | Chiropractor | 8770 Guion Rd Ste L, Indianapolis, IN 46268-3017 | 2020-10-09 |
| 1912529082 | Traci Gross | Chiropractor | 1460 W 86th St, Indianapolis, IN 46260-2181 | 2020-05-12 |
| 1154954972 | James Mccluskey | Chiropractor | 5935 Grandiose Dr, Indianapolis, IN 46228-4308 | 2020-02-20 |
| 1417587890 | Abigail Wade | Chiropractor | 6155 N Keystone Ave Ste 700, Indianapolis, IN 46220-1485 | 2020-01-24 |
| 1689204174 | Jennifer Brenneisen | Chiropractor | 971 N Delaware St, Indianapolis, IN 46202-3377 | 2020-01-23 |
| 1467082198 | Arden Burch | Chiropractor | 5111 E 65th St, Indianapolis, IN 46220-4816 | 2020-01-22 |
| 1053951137 | Restoration Family Chiropractic | Chiropractor | 5915 S Emerson Ave Ste 400, Indianapolis, IN 46237-1972 | 2020-01-07 |
| 1700432002 | Carter Yoder Chiropractic LLC | Chiropractor | 7855 S Emerson Ave Ste Q, Indianapolis, IN 46237-8669 | 2019-08-13 |
| 1750935946 | Chiro One Wellness Center of Indianapolis North LLC | Chiropractor | 6612 E 75th St Ste 110, Indianapolis, IN 46250-2821 | 2019-07-26 |
| 1376026393 | Eric Anthony Wolf | Chiropractor | 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 | 2018-09-14 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on MARY JO 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.