Individual provider Active NPI

John Anthony Joki

  • Chiropractor
  • Grand Rapids, MN
National Provider Identifier
1235626656
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6446 Issued in MN
Practice address
204 NW 5TH St
Grand Rapids, MN 55744
Phone
(218) 326-1804
Fax
(218) 999-7660
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6446 MN Primary

Addresses

Primary practice location

204 NW 5TH St
Grand Rapids, MN 55744

Mailing address

204 NW 5TH St
Grand Rapids, MN 55744-2607

Other practice location 1

324 W Superior St Ste 204
Duluth, MN 55802-1707
Phone (218) 722-4188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814002751 MN Practitioner - Chiropractic 5698024354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davis Chiropractic Health and Wellness, P.aGroup PAC ID 0547153967, 3 clinicians

Practice addresses (Care Compare)

204 NW 5TH St
Grand Rapids, MN 55744-2607
Phone (218) 326-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Chiropractic Health & Wellness, P.a Chiropractor CurrentSince Sep 4, 2018 Accepting new patients
Itasca Surgical Clinic, PA PastSince Sep 4, 2018 Accepting new patients

Locations

204 NW 5th St
Grand Rapids, MN 55744
Phone (218) 326-1804

Organizations & group practices 2

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1235626656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 NW 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 NW 5TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-1804",
            "fax_number": "218-999-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "324 W Superior St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558021707",
            "country_code": "US",
            "telephone_number": "218-722-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOKI",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.