JOHNSON CHIROPRACTIC CENTER, LLC
NPI 1154811412
Chiropractor in Fayetteville, AR

Q: What is Johnson Chiropractic Center, LLC's NPI number?

The NPI number for Johnson Chiropractic Center, LLC is 1154811412. It was assigned to this organization in the NPPES registry on May 12, 2018.

Q: What is Johnson Chiropractic Center, LLC's specialty?

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

Active since May 12, 2018

2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703(479) 709-2014 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2022, Jan 30, 2019, Nov 16, 2018 and 1 more (4 updates tracked since 2018).

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About Johnson Chiropractic Center, Llc NPPES

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

JOHNSON CHIROPRACTIC CENTER, LLC (NPI 1154811412) is a healthcare organization registered as a chiropractor in Fayetteville, Arkansas and active in the NPI registry since May 2018. The organization lists Brock Johnson, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154811412

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJOHNSON CHIROPRACTIC CENTER, LLC

Location Address2630 E CITIZENS DR STE 6Fayetteville, AR 72703-4797

Mailing Address2630 E Citizens Dr Ste 6Fayetteville, AR 72703-4797 · (479) 709-2014

Phone(479) 709-2014

Organization SubpartNo

Authorized OfficialBrock JohnsonOwner, Ceo · (479) 935-6021

Enumeration DateMay 12, 2018

Last NPPES UpdateNovember 10, 20224 updates tracked since enumeration

NPPES CertifiedNovember 10, 2022

✔ NPI 1154811412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in AR · 16072

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.

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X

2630 E CITIZENS DR STE 6, Fayetteville, AR 72703

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnson Chiropractic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Johnson Chiropractic Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brock Johnson, DC

Chiropractic

NPI 1992197180

2630 E CITIZENS DR STE 6
Fayetteville, AR 72703

(479) 935-3021

✔ Accepts MedicareSame 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 Chiropractic Center, LLC's NPI number?

The NPI number for Johnson Chiropractic Center, LLC is 1154811412. It was assigned to this organization in the NPPES registry on May 12, 2018.

Where is Johnson Chiropractic Center, LLC located?

Johnson Chiropractic Center, LLC is located at 2630 E Citizens Dr Ste 6, Fayetteville, AR 72703. The listed phone number is (479) 709-2014.

What is Johnson Chiropractic Center, LLC's specialty?

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

Is Johnson Chiropractic Center, LLC enrolled in Medicare?

Yes. Johnson Chiropractic Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Chiropractic Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Johnson Chiropractic Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Johnson Chiropractic Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Johnson Chiropractic Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnson Chiropractic Center, LLC was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.