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DR. BROCK JOHNSON DC
NPI 1992197180
Chiropractor in Fayetteville, AR

Active since February 24, 2015Accepts Medicare Assignment
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703(479) 935-3021(479) 777-9921 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brock Johnson Dc NPPES

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

DR. BROCK JOHNSON DC (NPI 1992197180) is an individual chiropractor in Fayetteville, Arkansas, licensed in Arkansas (16072) and active in the NPI registry since February 2015. He is a graduate of Cleveland Chiropractic College - Kansas City (2014).

NPPES Registry Identity

NPI1992197180
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BROCK JOHNSONCredential: DC
Location Address2630 E CITIZENS DR STE 6Fayetteville, AR 72703-4797
Mailing Address1583 Main DrFayetteville, AR 72704-5214 · (479) 443-0800 · Fax (479) 443-5535
Phone(479) 935-3021
Fax(479) 777-9921
Sole ProprietorYes
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2014
Enumeration DateFebruary 24, 2015
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1992197180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AR · 16072
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.
2630 E CITIZENS DR STE 6, Fayetteville, AR 72703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brock 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 ID4183962715
PECOS Enrollment IDI20190206002576

Medicare Billing Reassignment

Medicare enrollment records show Brock Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johnson Chiropractic Center, LLC
Same address
Chiropractor
2630 E CITIZENS DR STE 6
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
NPI 1154811412 (479) 709-2014

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

JOHNSON CHIROPRACTIC CENTER, LLC
Chiropractor
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
Washington County (479) 709-2014
DR. MICHAEL WAGGONER O.D.
Optometrist
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
Washington County (479) 582-1212
MICHAEL WAGGONER OD PA
Health Maintenance Organization
2630 E CITIZENS DR STE 6
FAYETTEVILLE, AR 72703
Washington County (479) 582-1212

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 Brock Johnson's NPI number?

The NPI number for Brock Johnson is 1992197180. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Brock Johnson located?

Brock Johnson practices at 2630 E Citizens Dr Ste 6, Fayetteville, AR 72703. The listed phone number is (479) 935-3021.

What is Brock Johnson's specialty?

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

Is Brock Johnson enrolled in Medicare?

Yes. Brock 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.

Which organization bills Medicare for Brock Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Johnson reassigns Medicare benefits to Johnson Chiropractic Center, LLC (Fayetteville, AR). The 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 Brock Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Brock Johnson 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 Brock Johnson was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.