DR. RANDY ROY JOHNSON (NPI# 1295843795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295843795 |
| Entity Type | Individual |
| Full Name | DR. RANDY ROY JOHNSON |
| Credential | D.C. |
| Practice Address |
10600 South Ave Chisago City MN 55013-9577 |
| Mailing Address |
10600 South Ave P.o. Box 426 Chisago City MN 55013-9577 |
| Practice Telephone | 6512571559 |
| Mailing Telephone | 6512571559 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2325 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1497041065 | Randy Lee Johnson | Contractor | 824 9th St N, Sartell, MN 56377-2248 | 2011-06-22 |
| 1871716225 | Randy Johnson | Dentist | 3053 Freedom Dr, Charlotte, NC 28208-3859 | 2007-04-11 |
| 1124180450 | Randy Robert Johnson | Chiropractor | 1706 East Tenth Street, Gauer Chiropractic Clinic, Glencoe, MN 55336 | 2006-12-14 |
| 1417970971 | Randy Johnson | Specialist/Technologist | 5150 Farna Ave, Arcadia, CA 91006-5966 | 2006-07-25 |
| 1972581957 | Randy Gordon Johnson | Pharmacist | 34617 Se 56th Pl, Fall City, WA 98024-8806 | 2006-01-09 |
| 1659932580 | Randy W Johnson | Nurse Practitioner | 736 Broadway N, Fargo, ND 58102-4421 | 2019-06-21 |
| 1073787677 | Randy M Johnson | Physician Assistant | 2200 Whitney Avenue, Suite 360, Hamden, CT 06518-3694 | 2008-04-15 |
| 1629247317 | Randy Johnson | Prosthetic/Orthotic Supplier | 405 Parkway, Suite G, Greensboro, NC 27401-1308 | 2008-02-27 |
| 1508035189 | Randy Lee Johnson | Durable Medical Equipment & Medical Supplies | 117 E Main St, Dundee, FL 33838-4219 | 2008-02-27 |
| Street Address |
10600 SOUTH AVE |
| City | CHISAGO CITY |
| State | MN |
| Zip Code | 55013-9577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085868 | Christi Michelle Wellman | Counselor | 11725 Stinson Avenue, Chicago City, MN 55013 | 2020-05-20 |
| 1225270077 | Trio Wolf Creek Distance Learning Charter School | Local Education Agency (LEA) | 10363 Liberty Lane, Chisago City, MN 55013 | 2009-03-25 |
| 1366504961 | Heather Alene Martin | Marriage & Family Therapist | 29351 Main Street, Chisago City, MN 55013 | 2006-12-14 |
| 1588621338 | Mark W Jurkovich | Dentist | 29663 Gateway Ave, Chisago City, MN 55013-0339 | 2006-04-26 |
| 1043589484 | Modern Dental Professionals Minnesota PC | Dentist | 29663 Gateway Ave, Chisago City, MN 55013-0339 | 2011-12-14 |
| 1285731646 | Chisago County Council for Exceptional Individuals, Inc. | Day Training, Developmentally Disabled Services | 10985 Lake Blvd., Chisago City, MN 55013-0410 | 2006-09-20 |
| 1174955264 | Krista Shoberg | Speech-Language Pathologist | 25422 Jeffery Ave, Chisago City, MN 55013-5021 | 2013-07-31 |
| 1043377617 | Darcy Lynn Paulsen | Pharmacist | 11400 275th St, Chisago City, MN 55013-5411 | 2007-01-03 |
| 1154551885 | Jerome Chia Djam | Case Manager/Care Coordinator | 11600 Interlachen Rd, Chisago City, MN 55013-7311 | 2009-07-15 |
| 1407979339 | Timothy David Johnson | Chiropractor | 29321 Main St, Chisago City, MN 55013-7326 | 2007-04-07 |
| Find all providers in zip 55013 | ||||
| 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 |
|---|---|---|---|---|
| 1194953091 | David C. Schmidt | Chiropractor | 13411 Maxwell Rd, Chisago City, MN 55013-7346 | 2009-06-30 |
| 1407979339 | Timothy David Johnson | Chiropractor | 29321 Main St, Chisago City, MN 55013-7326 | 2007-04-07 |
| 1568592764 | Danielle Kallin Brink | Chiropractor | 11185 Lake Blvd, Ste 208, Chisago City, MN 55013-9826 | 2007-03-06 |
| 1669525754 | Michael Stephen Zvonar IIi | Chiropractor | 11494 Brink Ave, Chisago City, MN 55013-9411 | 2007-01-19 |
| 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 | ||||
| City | CHISAGO CITY |
| Zip Code | 55013 |
Please comment or provide details below to improve the information on DR. RANDY ROY JOHNSON.
| 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.