Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jace Jordan Johnson, CPO

Individual provider Pedorthist · NPI 1568131191

Mr. Jace Jordan Johnson, CPO is a Pedorthist in Centerton, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2021

Practice location Address checks out

429 W Centerton Blvd
Centerton, AR 72719-8701
Phone: (918) 843-0713
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pedorthist (primary) Taxonomy 224L00000X · Licence OPP00271 (AR)

Record details

NPI number1568131191
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorYes
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 8, 2021