Dr. Larry Ross Johnston , DC
Chiropractor • Mesa, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Johnston has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Larry Johnston, DC was a registered Chiropractor practicing in Mesa, AZ. Throughout an active medical career spanning 14 years, Dr. Johnston provided care at the practice location at 65 E 1ST AVE STE 101 until profile deactivation on 2021-12-17.
Practice Location & Contact Primary Location
65 E 1st Ave Ste 101
Mesa, AZ 852101456
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Mesa, AZ
Practicing in Mesa, AZ (2102 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 17, 2021
NPI status registered as active in NPPES database
Registered at 65 E 1ST AVE STE 101, MESA, AZ 852101456 (Tel: 4809624649)
Registered at 65 E 1ST AVE STE 101, MESA, AZ 852101456 (Tel: 4809624649)
Recorded as LARRY JOHNSTON, D.C.
Chiropractor (License #4602 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
65 E 1st Ave Ste 101
Mesa, AZ 852101456
Phone: 4809624649
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