SPINE WELLNESS CENTER OF SOUTHERN NEVADA
NPI 1003090622
Chiropractor in Las Vegas, NV

Active since December 18, 2007
3085 E RUSSELL RD, STE. E, LAS VEGAS, NV 89120(702) 433-8333(702) 433-4632 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine Wellness Center Of Southern Nevada NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPINE WELLNESS CENTER OF SOUTHERN NEVADA (NPI 1003090622) is a healthcare organization registered as a chiropractor in Las Vegas, Nevada and active in the NPI registry since December 2007. The organization lists Sarah Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003090622
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHNSON WELLNESS CENTERS INC
Location Address3085 E RUSSELL RD, STE. ELas Vegas, NV 89120-3473
Mailing Address3085 E Russell Rd, Ste. ELas Vegas, NV 89120-3473 · (702) 433-8333 · Fax (702) 433-4632
Fax(702) 433-4632
Organization SubpartNo
Authorized OfficialSarah JohnsonOwner · (702) 433-8333
Enumeration DateDecember 18, 2007
Last NPPES UpdateOctober 30, 2008
✔ NPI 1003090622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NV · B928
Definition
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.
3085 E RUSSELL RD, Las Vegas, NV 89120

Other Names 1

Doing Business AsSpine Wellness Center Of Southern Nevada

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Wellness Center Of Southern Nevada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20081030000636Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Spine Wellness Center Of Southern Nevada, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1972707214
3085 E RUSSELL RD SUITE E
Las Vegas, NV 89120
(702) 433-8333
Same address
Chiropractic
NPI 1093830358
3085 E RUSSELL RD STE E
Las Vegas, NV 89120
(702) 433-8333
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Wellness Centers Inc's NPI number?

The NPI number for Johnson Wellness Centers Inc is 1003090622. It was assigned to this organization in the NPPES registry on December 18, 2007. The provider is doing business as Spine Wellness Center Of Southern Nevada.

Where is Johnson Wellness Centers Inc located?

Johnson Wellness Centers Inc is located at 3085 E Russell Rd Ste. E, Las Vegas, NV 89120. The listed phone number is (702) 433-8333.

What is Johnson Wellness Centers Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Johnson Wellness Centers Inc enrolled in Medicare?

Yes. Johnson Wellness Centers Inc is registered in the Medicare PECOS enrollment system.

When is Johnson Wellness Centers Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Nevada, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Johnson Wellness Centers Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Johnson Wellness Centers Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Johnson Wellness Centers Inc was last updated on October 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.