DR. RICHARD LEIF JOHNSON (NPI# 1093840431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093840431 |
| Entity Type | Individual |
| Full Name | DR. RICHARD LEIF JOHNSON |
| Credential | DC |
| Practice Address |
20010 75th Avenue North Corcoran MN 55340 |
| Mailing Address |
16460 41st Ave No Plymouth MN 55446 |
| Practice Telephone | 7634164878 |
| Practice Fax Number | 7635500443 |
| Mailing Telephone | 7635501499 |
| Mailing Fax Number | 7635500443 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1172 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS | 44267J0 | 01 |
| MN | BLUE CROSS | 44280J0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760005441 | Richard Johnson | Technician | 4614 G St Se, Washington, DC 20019-7833 | 2020-05-28 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1831695113 | Richard A Johnson | Technician/Technologist | 6081 Route 96 Ste 8, Farmington, NY 14425-1062 | 2018-04-04 |
| 1346765138 | Richard Johnson Jr. | Driver | 502 Hazelhurst Ave, Richmond, VA 23222-2825 | 2017-08-14 |
| 1225416506 | Richard Johnson | Internal Medicine | 63 Cottonwood Ln, Briarcliff Manor, NY 10510-2140 | 2015-05-07 |
| 1407126519 | Richard Scott Johnson | Social Worker | 625 S 300 E, Brigham City, UT 84302-2910 | 2012-01-05 |
| 1538439641 | Richard Johnson | Respiratory Therapist, Certified | 9142 Wooded Hill Dr, Corona, CA 92883-9345 | 2012-01-05 |
| 1568698934 | Richard Benjamin Johnson | Anesthesiology | Emory Department of Anesthesiology, 1364 Clifton Road Ne. 3b South, Emory University Hosp, Atlanta, GA 30322-0001 | 2009-05-29 |
| 1538369400 | Richard Stanley Johnson | Internal Medicine | 10644 Old Hammock Way, Wellington, FL 33414 | 2007-07-19 |
| 1679782973 | Richard C Johnson | Denturist | 3720 6th Ave, Ste A, Tacoma, WA 98406-4938 | 2007-05-22 |
| Street Address |
20010 75TH AVENUE NORTH |
| City | CORCORAN |
| State | MN |
| Zip Code | 55340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285786293 | Hassan Ismail | Dentist | 1090 Shingle Creek Crossing, Aspen Dental, Brooklyn Center, MN 55340 | 2007-01-18 |
| 1396850558 | Fortin Health & Wellness Clinic, Pa | Chiropractor | 149 Hamel Road, Hamel, MN 55340 | 2006-08-20 |
| 1154943199 | Augustana Senior Development II | Assisted Living Facility | 4350 Chippewa Ct, Medina, MN 55340-4013 | 2020-05-13 |
| 1851777239 | Shelly Jean Blanchard | Marriage & Family Therapist | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2015-08-07 |
| 1841766904 | Amy B Johnson | Social Worker | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2018-10-16 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1841641933 | Kari Anna Hultgren | Physician Assistant | 170 Prairie Creek Rd, Medina, MN 55340-4505 | 2016-06-29 |
| 1922526334 | All Smiles Dental Pa | Dentist | 212 Clydesdale Trl, Medina, MN 55340-4513 | 2017-09-06 |
| 1093768475 | Jeffrey A Ristau | Pharmacist | 300 Clydesdale Trl, T-2223, Medina, MN 55340-4538 | 2006-05-18 |
| 1649616103 | Daniel Peter Drontle | Pharmacist | 300 Clydesdale Trl, Medina, MN 55340-4538 | 2013-05-10 |
| Find all providers in zip 55340 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235289695 | Rob Arthur Mayer | Chiropractor | 1140 Chase Ave, Corcoran, CA 93212-2602 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.