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DR. JARRETT DALE JOHNSON DC
NPI 1629030572
Chiropractor in Biloxi, MS

Active since April 05, 2006Accepts Medicare Assignment
935 CEDAR LAKE RD, BILOXI, MS 39532(228) 424-4593(228) 392-4001 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jarrett Dale Johnson Dc NPPES

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

DR. JARRETT DALE JOHNSON DC (NPI 1629030572) is an individual chiropractor in Biloxi, Mississippi, licensed in Mississippi (1052) and active in the NPI registry since April 2006. He is a graduate of Sherman College Of Straight Chiropractic (2003).

NPPES Registry Identity

NPI1629030572
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JARRETT DALE JOHNSONCredential: DC
Location Address935 CEDAR LAKE RDBiloxi, MS 39532-2128
Mailing Address935 Cedar Lake RdBiloxi, MS 39532-2128 · (228) 424-4593 · Fax (228) 392-4001
Phone(228) 424-4593
Fax(228) 392-4001
Sole ProprietorYes
Medical School CMSSherman College Of Straight ChiropracticGraduated 2003
Enumeration DateApril 5, 2006
Last NPPES UpdateApril 30, 2012
✔ NPI 1629030572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MS · 1052
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.

935 CEDAR LAKE RD, Biloxi, MS 39532
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Other Identifiers 3

Medicaid09052528MS
Medicare UPINU96823
Medicare ID-Type Unspecified350000304MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jarrett Dale Johnson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608831672
PECOS Enrollment IDI20041201000728

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEDAR LAKE CHIROPRACTIC INC.
Chiropractor
935 CEDAR LAKE RD
BILOXI, MS 39532
Harrison County (228) 392-4000

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 Jarrett Johnson's NPI number?

The NPI number for Jarrett Johnson is 1629030572. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Jarrett Johnson located?

Jarrett Johnson practices at 935 Cedar Lake Rd, Biloxi, MS 39532. The listed phone number is (228) 424-4593.

What is Jarrett Johnson's specialty?

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

Is Jarrett Johnson enrolled in Medicare?

Yes. Jarrett Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jarrett Johnson was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.