P Praxis·MD
● Active Type 1 · Individual

DR. Gary L Johnson II, DC

Chiropractor·Pocatello, ID· NPI 1588721930 · Enumerated 2007 · 19 years on NPI
Johnson is 1 of 30 chiropractor providers in Pocatello and 1 of 1165 in Idaho.
NPI age
19 years
Enumerated 2007-01-03
Primary specialty
Chiropractor
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1165 active chiropractor providers in Idaho.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
2745 Pole Line Road
Pocatello, ID 832016111
📞 2082342225fax 2084785556
Mailing address
2745 Pole Line Road
Pocatello, ID 832016111
📞 2082342225fax 2084785556

Specialties

  • Chiropractor Primary
    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...
    ID license #CHIA -958 taxonomy 111N00000X

Identifiers

TypeValueNotes
01 (ID) C2284 BLUE CROSS ID
01 (ID) 000010034427 BLUE SHIELD ID

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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