Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780691311 Deactivated / Inactive NPI Male Practitioner

Dr. Edward T. Johnson , DC, CCRD

Chiropractor • Niceville, FL

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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. Edward Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2006
NPI Deactivation Date March 15, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Johnson, DC, CCRD was a registered Chiropractor practicing in Niceville, FL. Throughout an active medical career spanning 17 years, Dr. Johnson provided care at the practice location at 600 JOHN SIMS PKWY E until profile deactivation on 2023-03-15.

Practice Location & Contact Primary Location

Practice Address

600 John Sims Pkwy E

Niceville, FL 325782030

Telephone 8507298050
Fax 8507290050
Associated Practice Facility / Clinic
🏢 Health Options Group Inc. Facility NPI 1881875417

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Niceville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Niceville, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH0004009

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mark Harber , MD

Family Medicine

NPI 1508961673

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 15, 2023

Record deactivated on March 15, 2023

NPI Profile Active October 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2012

Registered at 600 JOHN SIMS PKWY E, NICEVILLE, FL 325782030 (Tel: 8507298050)

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Updated Business Mailing Address October 29, 2012

Registered at 600 JOHN SIMS PKWY E, NICEVILLE, FL 325782030 (Tel: 8507298050)

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Provider Name / Credentials Updated October 29, 2012

Recorded as EDWARD JOHNSON, D.C., C.C.R.D,

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2012

Chiropractor (License #CH0004009 in FL)

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Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780691311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: October 29, 2012
Deactivation Date: March 15, 2023

Mailing Address

600 John Sims Pkwy E

Niceville, FL 325782030

Phone: 8507298050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.