JOHNSON CHIROPRACTIC & HOLISTIC HEALTH CENTER, LLC
NPI 1881076222
Chiropractor in Columbia, MO

Active since June 22, 2015
1109 CLUB VILLAGE DR, SUITE #104, COLUMBIA, MO 65203(573) 447-0841 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Johnson Chiropractic & Holistic Health Center, Llc NPPES

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

JOHNSON CHIROPRACTIC & HOLISTIC HEALTH CENTER, LLC (NPI 1881076222) is a healthcare organization registered as a chiropractor in Columbia, Missouri and active in the NPI registry since June 2015. The organization lists Kody Ray Johnson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1881076222
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJOHNSON CHIROPRACTIC & HOLISTIC HEALTH CENTER, LLC
Location Address1109 CLUB VILLAGE DR, SUITE #104Columbia, MO 65203-4466
Mailing Address1109 Club Village Dr, Suite #104Columbia, MO 65203-4466 · (573) 447-0841
Organization SubpartNo
Authorized OfficialKody Ray JohnsonSole Member · (573) 447-0841
Enumeration DateJune 22, 2015
✔ NPI 1881076222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MO · 2007034175
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.
1109 CLUB VILLAGE DR, Columbia, MO 65203

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnson Chiropractic & Holistic Health Center, Llc 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 Chiropractic & Holistic Health Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1700061967
2011 CHAPEL PLAZA CT SUITE 111
Columbia, MO 65203
(660) 651-4335
✔ Accepts Medicare1.4 mi

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 & Holistic Health Center, LLC's NPI number?

The NPI number for Johnson Chiropractic & Holistic Health Center, LLC is 1881076222. It was assigned to this organization in the NPPES registry on June 22, 2015.

Where is Johnson Chiropractic & Holistic Health Center, LLC located?

Johnson Chiropractic & Holistic Health Center, LLC is located at 1109 Club Village Dr Suite #104, Columbia, MO 65203. The listed phone number is (573) 447-0841.

What is Johnson Chiropractic & Holistic Health Center, LLC's specialty?

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

Is Johnson Chiropractic & Holistic Health Center, LLC enrolled in Medicare?

Yes. Johnson Chiropractic & Holistic Health Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johnson Chiropractic & Holistic Health Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Johnson Chiropractic & Holistic Health Center, LLC. 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 & Holistic Health Center, LLC was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.