Organization Active NPI

Johnston Chiropractic Clinic PA

  • Chiropractor
  • Rogers, MN
National Provider Identifier
1245486687
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3472 Issued in MN
Legal business name
JOHNSTON CHIROPRACTIC CLINIC PA
Practice address
14115 James Rd
#302
Rogers, MN 55374-9468
Phone
(763) 428-9292
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Michael Troy Johnston, DC
Title
Owner
Phone
(763) 428-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3472 MN Primary

Addresses

Primary practice location

14115 James Rd
#302
Rogers, MN 55374-9468

Mailing address

14115 James Rd
#302
Rogers, MN 55374-9468
Phone (763) 428-9292

Other names 1

  • Rogers Chiropractic Health Doing business as

National Provider Directory

National Provider Directory

Locations

14115 James Rd
Ste 302
Rogers, MN 55374
Phone (763) 370-2031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1245486687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14115 JAMES RD",
            "address_2": "#302",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749468",
            "telephone_number": "763-428-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14115 JAMES RD",
            "address_2": "#302",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749468",
            "telephone_number": "763-428-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-428-9292",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Chiropractic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.