Organization Active NPI

Family Chiropractic Plus PA

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1952521676
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 3989 Issued in MN
Legal business name
FAMILY CHIROPRACTIC PLUS PA
Doing business as
Cathedral Hill Chiropractic
Practice address
400 Selby Ave
Suite N
Saint Paul, MN 55102-4508
Phone
(651) 735-1088
Fax
(651) 735-2505
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Dr. Michael Scott Johnson, D.C.NPI 1407903875
Title
Owner President
Phone
(651) 735-1088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 3989 MN Primary

Addresses

Primary practice location

400 Selby Ave
Suite N
Saint Paul, MN 55102-4508

Mailing address

400 Selby Ave
Suite N
Saint Paul, MN 55102-4508
Phone (651) 735-1088

Other identifiers 2

IdentifierTypeStateIssuer
42D14FAOtherMNBCBS OF MN FACILITY ID
DC 3989OtherMNDC CERTIFICATION STATE NO

Other names 1

  • Cathedral Hill Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000268 MN Part B Supplier - Clinic/Group Practice 2062573785 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

400 Selby Ave
Ste N
Saint Paul, MN 55102
Phone (651) 290-7610

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1952521676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SELBY AVE",
            "address_2": "SUITE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024508",
            "telephone_number": "651-735-1088",
            "fax_number": "651-735-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SELBY AVE",
            "address_2": "SUITE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024508",
            "telephone_number": "651-735-1088",
            "fax_number": "651-735-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC PLUS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "651-735-1088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC 3989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN FACILITY ID",
            "identifier": "42D14FA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC CERTIFICATION STATE NO",
            "identifier": "DC 3989",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cathedral Hill Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cathedral Hill Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.