Kimberly Ann Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003655 Issued in MN

Practice address

1240 3Rd Ave E
Shakopee, MN 55379-1679

Phone

(952) 445-7890

Fax

(953) 445-7893

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald S Mash PA

  • Primary Care Clinic/Center
  • Shakopee, MN
  • NPI 1104952589
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1003911108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 FRIENDSHIP LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374247",
            "telephone_number": "952-435-6557",
            "fax_number": "952-445-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 3RD AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553791679",
            "telephone_number": "952-445-7890",
            "fax_number": "953-445-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Jeurissen, APRN, CNP
• Amal Jimale
• Jennifer S Johnson Schmalz, D.C.
• Cybele D Johnson, DO
• Erika Johnson, FNP-BC
• Linda June Johnson, L.P.
• Melanie Rose Johnson
• Troy Sherman Johnson, MA, LP
• Gary Micheal Jonson, MD
• Gabor R Joo, M.D.

• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.