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NPI Code Detail

MEDICARE: DR. JUSTIN BLAKE JOHNSON DC

MEDICARE:  DR. JUSTIN BLAKE JOHNSON  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor16714TX

General Provider Information

NPI Number : 1952265779
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN BLAKE JOHNSON DC
Provider Business Mailing Address
First Line : 3200 MCKINNEY AVE APT 629
Second Line :
City : DALLAS
State : TX
Zip : 75204-3027
Country : US
Telephone Number : 972-907-2800
Fax Number : 972-907-2801
Provider Business Practice Location Address
First Line : 810 N PLANO RD STE 230
Second Line :
City : RICHARDSON
State : TX
Zip : 75081-3854
Country : US
Telephone Number : 972-907-2800
Fax Number : 972-907-2801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ DR. JUSTIN BLAKE JOHNSON DC” Practice Location

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