JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC
NPI 1679058093
Chiropractor in Pocatello, ID

Q: What is Johnson Family Chiropractic & Sports Clinic PLLC's specialty?

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

Active since October 02, 2018

2745 POLE LINE RD, POCATELLO, ID 83201(208) 234-2225 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Johnson Family Chiropractic & Sports Clinic Pllc NPPES

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

JOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC (NPI 1679058093) is a healthcare organization registered as a chiropractor in Pocatello, Idaho and active in the NPI registry since October 2018. The organization lists Gary L Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1679058093

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJOHNSON FAMILY CHIROPRACTIC & SPORTS CLINIC PLLC

Location Address2745 POLE LINE RDPocatello, ID 83201-6111

Mailing Address2745 Pole Line RdPocatello, ID 83201-6111

Phone(208) 234-2225

Organization SubpartNo

Authorized OfficialGary L JohnsonOwner · (208) 234-2225

Enumeration DateOctober 2, 2018

✔ NPI 1679058093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

2745 POLE LINE RD, Pocatello, ID 83201

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 Family Chiropractic & Sports Clinic Pllc 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 & Sports Clinic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Johnson, DC

Chiropractic

NPI 1588721930

2745 POLE LINE ROAD
Pocatello, ID 83201

(208) 234-2225

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 Family Chiropractic & Sports Clinic PLLC's NPI number?

The NPI number for Johnson Family Chiropractic & Sports Clinic PLLC is 1679058093. It was assigned to this organization in the NPPES registry on October 2, 2018.

Where is Johnson Family Chiropractic & Sports Clinic PLLC located?

Johnson Family Chiropractic & Sports Clinic PLLC is located at 2745 Pole Line Rd, Pocatello, ID 83201. The listed phone number is (208) 234-2225.

What is Johnson Family Chiropractic & Sports Clinic PLLC's specialty?

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

Is Johnson Family Chiropractic & Sports Clinic PLLC enrolled in Medicare?

Yes. Johnson Family Chiropractic & Sports Clinic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Family Chiropractic & Sports Clinic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Johnson Family Chiropractic & Sports Clinic PLLC. 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 Family Chiropractic & Sports Clinic PLLC accept?

Health plans from Molina Healthcare list Johnson Family Chiropractic & Sports Clinic PLLC 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 Family Chiropractic & Sports Clinic PLLC was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.