Organization Active NPI

Johnson Spine and Joint PLLC

  • Rehabilitation Chiropractor
  • Maplewood, MN
National Provider Identifier
1750299079
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
JOHNSON SPINE AND JOINT PLLC
Practice address
1636 Gervais Ave Ste 13
Maplewood, MN 55109-2191
Phone
(651) 615-6005
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Dr. Jessy Charles-James Johnson, DC
Title
Owner
Phone
(651) 615-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

1636 Gervais Ave Ste 13
Maplewood, MN 55109-2191

Mailing address

1636 Gervais Ave Ste 13
Maplewood, MN 55109-2191
Phone (651) 615-6005

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1750299079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 GERVAIS AVE STE 13",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092191",
            "telephone_number": "651-615-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 GERVAIS AVE STE 13",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092191",
            "telephone_number": "651-615-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON SPINE AND JOINT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JESSY",
        "authorized_official_middle_name": "CHARLES-JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-615-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.