DR. KIRK ROBERT JOHNSON (NPI# 1871587261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871587261 |
| Entity Type | Individual |
| Full Name | DR. KIRK ROBERT JOHNSON |
| Credential | DC |
| Practice Address |
715 N College Ave Fayetteville AR 72701-3407 |
| Practice Telephone | 4794420352 |
| Practice Fax Number | 4794424181 |
| Mailing Telephone | 4794420352 |
| Mailing Fax Number | 4794424181 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 933 | AR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | QUAL CHOICE OF AR | 14821000040 | 01 |
| AETNA | 7875281 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332687 | Kirk Johnson | Pharmacist | 6900 Willow Ln, Brooklyn Center, MN 55430-1340 | 2015-04-02 |
| 1437574209 | Kirk Johnson | Counselor | 770 W Hampden Ave Ste 205, Englewood, CO 80110-2130 | 2014-03-03 |
| 1407993959 | Kirk Johnson | Dentist | 1000 Omalley Rd Ste 101, Anchorage, AK 99515-3083 | 2007-01-31 |
| 1316969751 | Kirk Charles Johnson | Chiropractor | 15445 Metcalf Ave, Overland Park, KS 66223-2801 | 2006-07-24 |
| 1609302637 | Kirk Johnson | Physical Therapist | 3289 Court St, Pekin, IL 61554-6208 | 2017-05-11 |
| 1215484332 | Kirk Johnson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-09-07 |
| 1700086949 | Kirk A Johnson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2007-07-24 |
| 1013139567 | Kirk H. Johnson | Dentist | 100 N Academy Ave, Danville, PA 17822-3312 | 2007-05-03 |
| 1023180510 | Kirk A Johnson | Dentist | 1510 Ridge Rd W, Rochester, NY 14615-2405 | 2006-11-14 |
| 1326098385 | Kirk H Johnson | Orthopaedic Surgery | 22 Bethea Dr, Hilton Head Island, SC 29926-4702 | 2006-05-11 |
| Street Address |
715 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72701-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821488180 | Fayetteville Chiropractic, Pllc | Chiropractor | 715 N College Ave, Fayetteville, AR 72701-3407 | 2015-01-26 |
| 1922386507 | Meghann Diane Austin | Chiropractor | 715 N College Ave, Fayetteville, AR 72701-3407 | 2011-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588213417 | Biggers Counseling, LLC | Social Worker | 349 S Hill Ave, Fayetteville, AR 72701 | 2019-09-04 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1225520828 | Jacoby Markie Clemons | Specialist/Technologist | 1201 West Leroy Pond Dr, Fayetteville, AR 72701 | 2018-05-31 |
| 1952892390 | Ambur Dryer | Specialist/Technologist | 994 W Mlk Jr. Blvd., Fayetteville, AR 72701 | 2018-05-22 |
| 1851814230 | Blakely Low | Psychologist | 1229 Meadow Street Suite #221, Jones Family Center for Student-athlete Success, Fayetteville, AR 72701 | 2017-07-18 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1407204217 | Kenna Megan Hodeaux | Specialist/Technologist | 1201 Leroy Pond Drive, Sports Medicine Department, Fayetteville, AR 72701 | 2016-06-02 |
| 1740634435 | Crystal Susan Rofkahr | Psychologist | 26 E Meadow St Ste 3, Fayetteville, AR 72701 | 2016-04-19 |
| 1942663521 | Satoshi IIda | Specialist/Technologist | 1010 S Dunn Ave., Apt 205a, Fayetteville, AR 72701 | 2016-04-01 |
| 1992163901 | Dr Don M Chaney Dds Pa | Dentist | 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 | 2016-02-04 |
| Find all providers in zip 72701 | ||||
| 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 |
|---|---|---|---|---|
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1811537129 | Tyler Lee Awe | Chiropractor | 3155 N College Ave Ste 103, Fayetteville, AR 72703-3500 | 2020-01-14 |
| 1982245387 | Aell Spencer Chiropractic Inc | Chiropractor | 3980 W Wedington Dr Ste 14, Fayetteville, AR 72704-5791 | 2019-10-07 |
| 1063975571 | Arkansas Biomechanics & Rehabilitation, Pllc | Chiropractor | 3801 Johnson Mill Blvd Ste A&b, Fayetteville, AR 72704-5297 | 2019-04-11 |
| 1235603200 | Arkansas Holistic Health Care Chiropractic | Chiropractor | 2618 Mlk Jr Blvd, Fayetteville, AR 72701 | 2019-01-14 |
| 1740790716 | Gabriel J Ariciu | Chiropractor | 1678 E Joyce Blvd Ste 1, Fayetteville, AR 72703-6214 | 2017-10-04 |
| 1659895605 | Parker Watkins | Chiropractor | 3761 N Mall Ave Ste 3, Fayetteville, AR 72703-4972 | 2017-08-01 |
| 1780116053 | Goodheart Chiropractic Clinic, Inc. | Chiropractor | 280 Glynn St S, Fayetteville, GA 30214-2014 | 2017-03-28 |
| 1720525041 | Eric Bell | Chiropractor | 2684 Hollybrooke Dr, Fayetteville, AR 72701-9298 | 2017-01-24 |
| 1013375328 | Kristin Kukenberger | Chiropractor | 7000 E Genesee St Bldg B, Fayetteville, NY 13066 | 2016-02-01 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72701 |
Please comment or provide details below to improve the information on DR. KIRK ROBERT 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.