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LARRY D JOHNSON DC LLC
NPI 1366771370
Chiropractor in Cape Coral, FL

Active since December 22, 2009
1510 HANCOCK BRIDGE PKWY #6, CAPE CORAL, FL 33990(239) 574-5559(239) 574-9454 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2023, Aug 17, 2021 (2 updates tracked since 2021).

About Larry D Johnson Dc Llc NPPES

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

LARRY D JOHNSON DC LLC (NPI 1366771370) is a healthcare organization registered as a chiropractor in Cape Coral, Florida and active in the NPI registry since December 2009. The organization lists Larry Dean Johnson, Mgr, as its authorized official.

NPPES Registry Identity

NPI1366771370
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLARRY D JOHNSON DC LLC
Location Address1510 HANCOCK BRIDGE PKWY #6Cape Coral, FL 33990-1715
Mailing Address1510 Hancock Bridge Pkwy #6Cape Coral, FL 33990-1715 · (239) 574-5559 · Fax (239) 574-9454
Phone(239) 574-5559
Fax(239) 574-9454
Organization SubpartYes
Authorized OfficialLarry Dean JohnsonMgr · (239) 574-5559
Enumeration DateDecember 22, 2009
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1366771370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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 ListedEmergency MedicineTaxonomy 207P00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

Other Identifiers 1

Medicaid381717200FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larry D Johnson Dc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Larry D Johnson Dc LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Mairelis De La Cruz Hernandez
Nurse Practitioner
NPI 1588295919
971 CHIQUITA BLVD S
Cape Coral, FL 33991
(786) 351-4243
✔ PECOS✔ Accepts Medicare
Larry Johnson, DC
Chiropractic
NPI 1669448155
2721 DEL PRADO BLVD S STE 250
Cape Coral, FL 33904
(239) 471-9070
✔ Accepts Medicare
Aaron Wohl, MD
Emergency Medicine
NPI 1174636724
2776 CLEVELAND AVE
Fort Myers, FL 33901
(239) 343-2606
✔ PECOS✔ Accepts Medicare

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 Larry D Johnson Dc LLC's NPI number?

The NPI number for Larry D Johnson Dc LLC is 1366771370. It was assigned to this organization in the NPPES registry on December 22, 2009.

Where is Larry D Johnson Dc LLC located?

Larry D Johnson Dc LLC is located at 1510 Hancock Bridge Pkwy #6, Cape Coral, FL 33990. The listed phone number is (239) 574-5559.

What is Larry D Johnson Dc LLC's specialty?

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

Is Larry D Johnson Dc LLC enrolled in Medicare?

Yes. Larry D Johnson Dc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Larry D Johnson Dc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Larry D Johnson Dc LLC, in Chiropractic, Emergency Medicine and Nurse Practitioner. 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.

When was this NPI record last updated?

The NPPES record for Larry D Johnson Dc LLC was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.