Craig Matthew Johnson

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

BC629235 Issued in MN

Practice address

8103 Upper 129TH CT
Apple Valley, MN 55124-6283

Phone

(612) 282-8286

NPI assigned

Aug 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1376154708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8103 UPPER 129TH CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246283",
            "telephone_number": "612-282-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8103 UPPER 129TH CT",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246283",
            "telephone_number": "612-282-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRAIG",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "MN",
            "license": "BC629235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a. Loraas, PH.D., P.a.
• Kathryn Marie Johncox, LICSW
• Johnson Spinal Care Associates, P.a.
• Alexandra Johnson
• Amanda Ruth Johnson, MT
• Janet Johnson, MSCCCSLP
• Lauren Elizabeth Johnson, PHARMD
• Neil James Johnson, D.D.S., PH.D.
• Jonathan Taffe
• Janice Jones

• Home Modifications Contractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Home Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.