Luke Johnson

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6933 Issued in MN

Practice address

503 Hawthorn St
#105
Alexandria, MN 56308

Phone

(320) 763-9499

NPI assigned

Jan 11, 2022

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Chiropractic and Sports ClinicGroup PAC ID 3173996824, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Johnson Chiropractic and Sports Clinic

  • Chiropractor
  • Starbuck, MN
  • NPI 1578215612
  Medicare reassignment Care Compare group NPD
• Michael D Johnson, DC

  • Chiropractor
  • Starbuck, MN
  • NPI 1154305449
  Medicare reassignment

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1568113686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST",
            "city": "STARBUCK",
            "state": "MN",
            "postal_code": "563812426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 HAWTHORN ST",
            "address_2": "#105",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-763-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Starbuck",
            "state": "MN",
            "postal_code": "563812426",
            "country_code": "US",
            "telephone_number": "320-239-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Johnson, ATC
• Joyce Elaine Johnson, PHD
• Kaija Michon Johnson, D.C.
• Karena Johnson
• Kimberly Johnson
• Sandra L Johnson, MD
• Thomas G Johnson, DDS
• Shelby Elisha Johnsrud, D.C.
• Rebecca Joyce, FNP
• Allison Marie Homstad Juba, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.