NPIMap

Organization Active NPI

C Johnson Inc

Doing business as Milaca Chiropractic Center

  • Chiropractor
  • Milaca, MN
National Provider Identifier
1366635435
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3133 Issued in MN
Legal business name
C JOHNSON INC
Doing business as
Milaca Chiropractic Center
Practice address
105 Central Ave S
Milaca, MN 56353-1122
Phone
(320) 983-6805
Fax
(320) 983-6807
NPI assigned
Aug 22, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Christopher L Johnson, D.C.NPI 1679643217
Title
Owner
Phone
(320) 983-6805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3133 MN Primary

Addresses

Primary practice location

105 Central Ave S
Milaca, MN 56353-1122

Mailing address

105 Central Ave S
Milaca, MN 56353-1122
Phone (320) 983-6805

Other names 1

  • Milaca Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000325 MN Part B Supplier - Clinic/Group Practice 9335308196 Receives reassigned benefits from 1 practitioner
Practice locations: Milaca, MN

National Provider Directory

National Provider Directory

Locations

105 Central Ave S
Milaca, MN 56353
Phone (320) 983-6805

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1366635435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE S",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531122",
            "telephone_number": "320-983-6805",
            "fax_number": "320-983-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTRAL AVE S",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531122",
            "telephone_number": "320-983-6805",
            "fax_number": "320-983-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C JOHNSON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-983-6805",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milaca Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milaca, MN

Sources for this page

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

Verify at the official NPI Registry.