Organization Active NPI

Rogers Chiropractic PA

  • Chiropractor
  • Rogers, MN
National Provider Identifier
1275845471
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3472 Issued in MN
Legal business name
ROGERS CHIROPRACTIC PA
Practice address
21370 John Milless Dr
Suite 215
Rogers, MN 55374-9449
Phone
(763) 428-9292
Fax
(763) 428-2018
NPI assigned
Jul 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Michael 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

21370 John Milless Dr
Suite 215
Rogers, MN 55374-9449

Mailing address

21370 John Milless Dr
Suite 215
Rogers, MN 55374-9449
Phone (763) 428-9292

National Provider Directory

National Provider Directory

Locations

551 W 78th St
Ste 103
Chanhassen, MN 55317
Phone (952) 401-9267

21370 John Milless Dr
Ste 215
Rogers, MN 55374
Phone (763) 428-9292

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1275845471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR",
            "address_2": "SUITE 215",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749449",
            "telephone_number": "763-428-9292",
            "fax_number": "763-428-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 JOHN MILLESS DR",
            "address_2": "SUITE 215",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749449",
            "telephone_number": "763-428-9292",
            "fax_number": "763-428-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGERS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-428-9292",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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 Jan 13, 2016; 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.