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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2035 | MN | Chiropractic Providers |
Street Address |
366 PRIOR AVE N |
City | SAINT PAUL |
State | MN |
Zip Code | 55104-5165 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 55104 |
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 |
---|---|---|---|---|
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 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55104 |
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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.