DR. DOROTHEA DAVID JOHANSEN


Address: 366 Prior Ave N, Saint Paul, MN 55104-5165
Phone: 6516471733

DR. DOROTHEA DAVID JOHANSEN (NPI# 1407085319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407085319
Entity Type Individual
Full Name DR. DOROTHEA DAVID JOHANSEN
Credential D.C.
Practice Address 366 Prior Ave N
Saint Paul
MN 55104-5165
Mailing Address 1661 Englewood Ave
Saint Paul
MN 55104-1114
Practice Telephone 6516471733
Mailing Telephone 6516471733
Enumeration Date 2009-07-13
Last Update Date 2009-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 2035 MN Chiropractic Providers

Office Location

Street Address 366 PRIOR AVE N
City SAINT PAUL
State MN
Zip Code 55104-5165

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609816545 Laurie Ann Dunn Psychologist 366 Prior Ave N, Saint Paul, MN 55104-5165 2006-06-08
1407473374 Marylee Margaret Tauer Counselor 366 Prior Ave N, Saint Paul, MN 55104-5165 2020-06-26
1427506534 Susan Springer Johnson Marriage & Family Therapist 366 Prior Ave N, Suite 101, Saint Paul, MN 55104-5165 2016-09-17
1275859472 Angela Louise Neil Counselor 366 Prior Ave N, Suite 205, Saint Paul, MN 55104-5165 2010-04-13
1740503556 Kenneth Lewis Roberts Counselor 366 Prior Ave N, Saint Paul, MN 55104-5165 2010-03-08
1255668067 Partners In Attention, Learning, and Self-regulation, LLC Clinic/Center 366 Prior Ave N, Ste 101, Saint Paul, MN 55104-5165 2009-11-16
1417132432 Patrick John Dougherty Psychologist 366 Prior Ave N, Suite 204, Saint Paul, MN 55104-5165 2008-01-09
1639399694 Judith Lies Marriage & Family Therapist 366 Prior Ave N, Ste 202, Saint Paul, MN 55104-5165 2007-05-01
1639243082 Helen D Gilbert Psychologist 366 Prior Ave N, Suite 205, Saint Paul, MN 55104-5165 2006-11-20
1770655706 Simmie J. Parlow Psychologist 366 Prior Ave N, Suite 202, Saint Paul, MN 55104-5165 2006-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609477785 Samantha Nielsen Chiropractor 482 Snelling Ave S, Saint Paul, MN 55116-1501 2020-11-04
1265061709 Saint Paul Chiropractic Pllc Chiropractor 91 Snelling Ave N Ste 220, Saint Paul, MN 55104-6756 2020-04-06
1720622806 Andreas Ezer Chiropractor 33 Hamline Ave S Ste 100, Saint Paul, MN 55105-2231 2019-11-01
1891284733 Abby Mae Bachmeier Chiropractor 333 Grand Ave Ste 102, Saint Paul, MN 55102-2584 2018-05-07
1801304852 Kyle Nolan Walsh Chiropractor 33 Avon St S Apt 6, Saint Paul, MN 55105-3186 2018-01-11
1154859866 Sara Livia Cooper Chiropractor 1 Water St W Ste 270, Saint Paul, MN 55107-2053 2017-05-24
1982146502 Neville Lambourne Chiropractor 393 Dunlap St N Ste Ll38, Saint Paul, MN 55104-4202 2016-11-14
1457804643 Pamela Joy Comes Chiropractor 1700 Rice St Ste B, Saint Paul, MN 55113-6812 2016-07-25
1437511995 Andrew David Cook Chiropractor 21 Langford Park, Saint Paul, MN 55108-1910 2016-03-24
1598130924 Chirodefense, LLC Chiropractor 1068 Payne Ave, Saint Paul, MN 55130-3843 2015-12-10
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Competitor

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City SAINT PAUL
Zip Code 55104

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Dataset Information

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.

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