Robert S Johnson Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001724 Issued in MN

Legal business name

ROBERT S JOHNSON CHIROPRACTIC LTD

Practice address

3620 Bemidji Ave N
Bemidji, MN 56601

Phone

(218) 751-5145

Fax

(218) 444-2480

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert S Johnson, DC

Title

Owner DC

Phone

(218) 751-5145

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1336234111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56601",
            "telephone_number": "218-751-5145",
            "fax_number": "218-444-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "56601",
            "telephone_number": "218-751-5145",
            "fax_number": "218-444-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S JOHNSON CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DC",
        "authorized_official_telephone_number": "218-751-5145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "001724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17453",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8386J0",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522327000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David A Riley, M.D.
• Jordan Rist, PHARM D
• Stephen Joner Rith-Najarian, MD
• Erin Joy Rizzi, NP
• Sarah Joy Robeck
• Glen Mark Robia, MD
• Robin Hewitt LMFT LLC
• Diana Gail Robinson, LADC
• Jeremiah Emanuel Robinson
• Mark Rodlund, PH.D.

• Chiropractor in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; 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.