DR. RANDY ROBERT JOHNSON DC
NPI 1124180450
Chiropractor in Glencoe, MN

Active since December 14, 2006Accepts Medicare Assignment
1706 EAST TENTH STREET, GAUER CHIROPRACTIC CLINIC, GLENCOE, MN 55336(320) 864-3196(320) 864-3197 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy Robert Johnson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY ROBERT JOHNSON DC (NPI 1124180450) is an individual chiropractor in Glencoe, Minnesota, licensed in Minnesota (4635) and active in the NPI registry since December 2006. He is a graduate of Northwestern College Of Chiropractic (2004).

NPPES Registry Identity

NPI1124180450
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDY ROBERT JOHNSONCredential: DC
Location Address1706 EAST TENTH STREET, GAUER CHIROPRACTIC CLINICGlencoe, MN 55336
Mailing Address1706 East Tenth Street, Gauer Chiropractic ClinicGlencoe, MN 55336 · (320) 864-3196 · Fax (320) 864-3197
Fax(320) 864-3197
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2004
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124180450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 4635
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.
1706 EAST TENTH STREET, Glencoe, MN 55336

Other Identifiers 5

Other869035MN · Americas Ppo
Other370K6J0MN · Bcbs
Other649104MN · Chiropractic Care Of Minn
Medicare UPINV03183
Other30701128Prime West

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy Robert Johnson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789633173
PECOS Enrollment IDI20050112000672

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
519 services61 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
128 services25 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1706 EAST TENTH STREET, GAUER CHIROPRACTIC CLINIC
GLENCOE, MN 55336
Chiropractor
1706 EAST TENTH STREET, GAUER CHIROPRACTIC CLINIC
GLENOCE, MN 55336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Johnson's NPI number?

The NPI number for Randy Johnson is 1124180450. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Randy Johnson located?

Randy Johnson practices at 1706 East Tenth Street Gauer Chiropractic Clinic, Glencoe, MN 55336. The listed phone number is (320) 864-3196.

What is Randy Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Randy Johnson enrolled in Medicare?

Yes. Randy Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randy Johnson accept?

Health plans from HealthPartners and Medica list Randy Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.