Chance Macauley Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6724 Issued in MN

Practice address

8441 Wayzata Blvd Ste 125
Golden Valley, MN 55426-1378

Phone

(615) 796-1348

NPI assigned

Sep 9, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1578178356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 RIVERBANK DR NW",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550404326",
            "telephone_number": "615-796-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8441 WAYZATA BLVD STE 125",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261378",
            "telephone_number": "615-796-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHANCE",
        "middle_name": "MACAULEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connect@drchancejohnson.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8441 Wayzata Blvd Ste 125",
            "city": "Golden Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554261378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jewish Family & Children's Service of MPLS
• Jewish Family and Children's Service
• John Raymond Fenyk, Jr (Midwest Dermatoloty)
• Bethaney Colette Johnson, PHARMD
• Brittany Heather Johnson
• Christopher Stewart Johnson, DCM, LAC
• Kaitlin Johnson
• Kristin Lee Johnson, PT, DPT, NCS
• Laurie Jean Johnson, OTR
• Marjorie Lynn Johnson, MA CCC

• Chiropractor in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.