Individual provider Active NPI

Michael D Johnson, DC

  • Chiropractor
  • Starbuck, MN
National Provider Identifier
1154305449
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3049 Issued in MN
Practice address
117 W 5TH St
Starbuck, MN 56381-2426
Phone
(320) 239-4848
Fax
(320) 239-2898
NPI assigned
Dec 1, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3049 MN Primary

Addresses

Primary practice location

117 W 5TH St
Starbuck, MN 56381-2426

Mailing address

PO Box 305
117 W 5TH St
Starbuck, MN 56381-0305
Phone (320) 239-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000538 MN Practitioner - Chiropractic 7113187865 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, MN; Starbuck, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Chiropractic and Sports ClinicGroup PAC ID 3173996824, 3 clinicians

Practice addresses (Care Compare)

117 W 5TH St
Starbuck, MN 56381-2426
Phone (320) 239-4848

PO Box
Suite 305
Starbuck, MN 56381-0305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Chiropractic and Sports Clinic Chiropractor CurrentSince Nov 18, 2022 Accepting new patients

Locations

503 Hawthorne St
Ste 105
Alexandria, MN 56308
Phone (320) 763-9499

117 W 5th St
Starbuck, MN 56381
Phone (320) 239-4848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154305449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "address_2": "117 W 5TH ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563810305",
            "telephone_number": "320-239-4848",
            "fax_number": "320-239-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812426",
            "telephone_number": "320-239-4848",
            "fax_number": "320-239-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2026-07-13",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starbuck, MN

Sources for this page

  • 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.