Mark Alan Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3167 Issued in MN

Practice address

825 Nicollet Mall
Ste 1845
Minneapolis, MN 55402-2706

Phone

(612) 332-8292

Fax

(612) 332-5972

NPI assigned

Jun 23, 2005

Sex

Male

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, 1993

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.

• Metrocenter Chiropractic PA

  • Chiropractor
  • Minneapolis, MN
  • NPI 1871760884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063418077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE 1845",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022706",
            "telephone_number": "612-332-8292",
            "fax_number": "612-332-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "STE 1845",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022706",
            "telephone_number": "612-332-8292",
            "fax_number": "612-332-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lu Chen Johnson
• Luann J Johnson, APRN, CNP
• Ludmila Stanislavivna Johnson, NP
• Maria Ronningen Johnson, M.S., CGC
• Marie Ann Johnson, RN
• Mark Herbert Johnson, M.D.
• Mary Katharine Johnson, APRN CNP
• Masha Johnson
• Matisse Lela Johnson
• Matthew Johnson, MA LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.