Individual provider Active NPI

Christopher Stewart Johnson, DCM, LAC

  • Acupuncturist
  • Golden Valley, MN
National Provider Identifier
1245855097
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
1924 Issued in MN
Practice address
8085 Wayzata Blvd Ste 10
Golden Valley, MN 55426-1472
Phone
(612) 567-2270
NPI assigned
Jun 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 1924 MN Primary

Addresses

Primary practice location

8085 Wayzata Blvd Ste 10
Golden Valley, MN 55426-1472

Mailing address

8085 Wayzata Blvd Ste 10
Golden Valley, MN 55426-1472
Phone (612) 567-2270

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.everybodyhealing.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120001390 MN Practitioner - Pain ManagementPractitioner - Preventive Medicine 5496296493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Preventive Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8085 Wayzata Blvd
Suite 10
Golden Valley, MN 55426-1472
Phone (612) 567-2270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Everybody Healing Center LLC Acupuncturist CurrentSince Jun 1, 2020 Accepting new patients

Locations

8085 Wayzata Blvd
Ste 10
Minneapolis, MN 55426
Phone (612) 221-6930

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1245855097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 10",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261472",
            "telephone_number": "612-567-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 10",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261472",
            "telephone_number": "612-567-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "DCM, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.everybodyhealing.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8085 Wayzata Blvd Ste 10",
            "city": "Golden Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554261472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

Verify at the official NPI Registry.