Individual provider Active NPI

Emma Johnson, DC

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1194438333
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7055 Issued in MN
Practice address
12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786
Phone
(952) 314-7035
Fax
(952) 426-3414
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7055 MN Primary

Addresses

Primary practice location

12455 Ridgedale Dr Ste 203
Minnetonka, MN 55305-1786

Mailing address

301 Shelard Pkwy Apt 125
St Louis Park, MN 55426-1022
Phone (651) 999-9124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607000679 MN Practitioner - Chiropractic 3072970078 Reassigns benefits to 1 organization
I20250906000797 TX Practitioner - Chiropractic 3072970078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunu Chiropractic, Inc.Group PAC ID 0547439168, 5 clinicians

Practice addresses (Care Compare)

12455 Ridgedale Dr
Suite 203
Minnetonka, MN 55305-1786
Phone (952) 314-7035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7055MNMDChiropractor
9416AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunu Chiropractic, Inc. Chiropractor CurrentSince Apr 25, 2023 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Aug 22, 2025 Accepting new patients
Salt River Pima-Maricopa Indian Community Current Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Aug 22, 2025 Accepting new patients

Locations

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

12455 Ridgedale Dr
#203
Minnetonka, MN 55305
Phone (952) 314-7035

12455 Ridgedale Dr
Ste 203
Minnetonka, MN 55305
Phone (952) 314-7035

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1194438333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHELARD PKWY APT 125",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261022",
            "telephone_number": "651-999-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 RIDGEDALE DR STE 203",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051786",
            "telephone_number": "952-314-7035",
            "fax_number": "952-426-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.