Andrew Ryan Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7061 Issued in MN

Practice address

3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155

Phone

(763) 559-9236

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1770296097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 19",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-559-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VINEWOOD LN N STE 19",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411155",
            "telephone_number": "763-559-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Mueller OD PC
• Craig John, PT
• Brittany Lynn Johns, PHARMD
• Christine Marie Johnson Weber
• Alison Dawn Johnson, COTA/L
• Brett Ryser Johnson, CRNA
• Carolyn Johnson, LPN
• Courtney Marie Johnson
• David S. Johnson, MD
• Jaclyn Rachel Johnson, MA, LPCC, LADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.