Michael Timm Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3753 Issued in MN

Practice address

1931 University Ave NE
Minneapolis, MN 55418-4337

Phone

(612) 706-8900

NPI assigned

Mar 20, 2007

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, 1997

Medicare assignment

May accept Medicare assignment

Group practices

City Chiropractic PCGroup PAC ID 6800871096, 2 clinicians

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.

• City Chiropractic, PC

  dba City Chiropractic

  • Chiropractor
  • Minneapolis, MN
  • NPI 1538341953
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1093830556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 UNIVERSITY AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184337",
            "telephone_number": "612-706-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 UNIVERSITY AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184337",
            "telephone_number": "612-706-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "TIMM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matisse Lela Johnson
• Matthew Johnson, MA LPCC
• Maxine Johnson, MA. LPCC
• Mbuotidem Johnson
• Meredyth Ann Johnson, CD (DONA)
• Michelle Lee Johnson
• Monte Johnson, M.D.
• Morgan Johnson
• Nathan Daniel Johnson, M.D.
• Nicholas Anders Johnson, MT-BC, NMT

• 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 Nov 27, 2007; 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.