David Vernon Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002717 Issued in MN

Practice address

4316 Upton Ave S
Suite # 200
Minneapolis, MN 55410-1504

Phone

(612) 927-9838

Fax

(612) 928-9649

NPI assigned

Apr 9, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bollingberg Chiropractic Clinic LLP

  • Chiropractor
  • Austin, MN
  • NPI 1518039072
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861515389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 UPTON AVE S",
            "address_2": "SUITE # 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101563",
            "telephone_number": "612-927-9838",
            "fax_number": "612-928-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 UPTON AVE S",
            "address_2": "SUITE # 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101504",
            "telephone_number": "612-927-9838",
            "fax_number": "612-928-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "002717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "71639-JO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER #",
            "identifier": "44-82585",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Jay Johnson
• Danae Esperanza Johnson
• Danielle Rose Johnson, LPCC, LADC
• Dasherline Cox Johnson, PSY.D.
• David Robert Johnson, M.D., M.P.H.
• David William Johnson Jr., DDS
• Davina Johnson
• Deanna Elizabeth Johnson, RN, NNP-BC
• Debra Johnson, RN
• Debra Deanovic Johnson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.