JOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC
NPI 1508167388
Clinic/Center in Peoria, IL

Active since November 09, 2010
3227 N PROSPECT RD, PEORIA, IL 61603(309) 688-8773 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Johnson Family Chiropractic Of Peoria, Pc NPPES

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

JOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC (NPI 1508167388) is a healthcare organization registered as a clinic/center in Peoria, Illinois and active in the NPI registry since November 2010. The organization lists Kyle Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1508167388
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJOHNSON FAMILY CHIROPRACTIC OF PEORIA, PC
Location Address3227 N PROSPECT RDPeoria, IL 61603-1544
Mailing Address3227 N Prospect RdPeoria, IL 61603-1544 · (309) 688-8773
Organization SubpartNo
Authorized OfficialKyle JohnsonPresident · (309) 688-8773
Enumeration DateNovember 9, 2010
✔ NPI 1508167388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 038011802
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3227 N PROSPECT RD, Peoria, IL 61603

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 Family Chiropractic Of Peoria, Pc 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 Family Chiropractic Of Peoria, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1790086577
3227 N PROSPECT RD
Peoria, IL 61603
(309) 688-8773
✔ 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 Family Chiropractic Of Peoria, PC's NPI number?

The NPI number for Johnson Family Chiropractic Of Peoria, PC is 1508167388. It was assigned to this organization in the NPPES registry on November 9, 2010.

Where is Johnson Family Chiropractic Of Peoria, PC located?

Johnson Family Chiropractic Of Peoria, PC is located at 3227 N Prospect Rd, Peoria, IL 61603. The listed phone number is (309) 688-8773.

What is Johnson Family Chiropractic Of Peoria, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Johnson Family Chiropractic Of Peoria, PC enrolled in Medicare?

Yes. Johnson Family Chiropractic Of Peoria, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Family Chiropractic Of Peoria, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Johnson Family Chiropractic Of Peoria, PC. 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 Johnson Family Chiropractic Of Peoria, PC was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.