JOHNSON CHIROPRACTIC, INC
NPI 1629267984
Chiropractor in Warsaw, IN

Active since October 23, 2007
427 E FORT WAYNE ST, WARSAW, IN 46580(574) 268-0787(574) 268-5306 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnson Chiropractic, Inc NPPES

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

JOHNSON CHIROPRACTIC, INC (NPI 1629267984) is a healthcare organization registered as a chiropractor in Warsaw, Indiana and active in the NPI registry since October 2007. The organization lists Matthew G Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1629267984
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHNSON CHIROPRACTIC, INC
Location Address427 E FORT WAYNE STWarsaw, IN 46580-3362
Mailing Address427 E Fort Wayne StWarsaw, IN 46580-3362 · (574) 268-0787 · Fax (574) 268-5306
Fax(574) 268-5306
Organization SubpartNo
Authorized OfficialMatthew G JohnsonPresident · (574) 268-0787
Enumeration DateOctober 23, 2007
Last NPPES UpdateMay 14, 2013
✔ NPI 1629267984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IN · 08001688A
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.
427 E FORT WAYNE ST, Warsaw, IN 46580

Other Identifiers 3

Medicaid200119260AIN
Medicare UPINU63195IN
Medicare PIN222270IN

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)

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

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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
StateIndianaEnrollment IDO20050103000828Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Chiropractic
NPI 1275670176
427 E FORT WAYNE ST
Warsaw, IN 46580
(574) 268-0787
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 Chiropractic, Inc's NPI number?

The NPI number for Johnson Chiropractic, Inc is 1629267984. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Johnson Chiropractic, Inc located?

Johnson Chiropractic, Inc is located at 427 E Fort Wayne St, Warsaw, IN 46580. The listed phone number is (574) 268-0787.

What is Johnson Chiropractic, Inc's specialty?

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

Is Johnson Chiropractic, Inc enrolled in Medicare?

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

When is Johnson Chiropractic, 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 (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. 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 Chiropractic, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Johnson Chiropractic, 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. 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 Chiropractic, Inc was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.