Activecare Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MN4390 Issued in MN

Legal business name

ACTIVECARE CHIROPRACTIC

Practice address

1804 Broadway St Ste 125
Alexandria, MN 56308-2686

Phone

(320) 763-0313

Fax

(320) 763-6534

NPI assigned

Oct 17, 2006

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaija Michon Johnson, DCNPI 1427082502

Title

President

Phone

(320) 763-0313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaija Michon Johnson, D.C.

  • Chiropractor
  • Alexandria, MN
  • NPI 1427082502
  Medicare reassignment NPD Authorized official
• Kaelee Werder, CMT

  • Massage Therapist
  • Alexandria, MN
  • NPI 1295588721
  NPD
• Michael E Bishop, DC, MPAS, MBA, PA-C

  • Physician Assistant
  • Mahnomen, MN
  • NPI 1346251527

  Chiropractor

  NPD (past)
• Laurene Collison

  • Massage Therapist
  • Moorhead, MN
  • NPI 1508661778
  NPD (past)
• Jodee Marie Downs, DC

  • Chiropractor
  • Moorhead, MN
  • NPI 1770994758
  NPD (past)
• Corey Grace Holbrook, LMT

  • Massage Therapist
  • Moorhead, MN
  • NPI 1881412443
  NPD (past)
• Christopher J Larson, DC, CERT ACU

  • Chiropractor
  • Alexandria, MN
  • NPI 1548551187
  NPD (past)
• Beth Ann Nokken, DC

  • Chiropractor
  • Moorhead, MN
  • NPI 1326158908
  NPD (past)
• Broderick Schmidt, D.C.

  • Chiropractor
  • Dilworth, MN
  • NPI 1780128132
  NPD (past)
• Jamison David Englund, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1841214046
  NPD (past)
• Victoria Lynn Lau, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1285916031
  NPD (past)
• Jennifer Lynn Sabourin, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1881876472
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1861573974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BROADWAY ST STE 125",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082686",
            "telephone_number": "320-763-0313",
            "fax_number": "320-763-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BROADWAY ST STE 125",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082686",
            "telephone_number": "320-763-0313",
            "fax_number": "320-763-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVECARE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KAIJA",
        "authorized_official_middle_name": "MICHON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-763-0313",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MN4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894656600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Rodney Aberle, DDS
• Achieve Chiropractic and Wellness, PA (Achieve Wellness)
• Sara Adams
• Nicole M Addison, CNP
• Breanna Adelman, SLP
• Advance Orthotics & Prosthetics
• Advanced Eyecare of Minnesota P.a.

• 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 May 19, 2025; 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.