JOHNSON CHIROPRACTIC CLINIC OF MAPLE GROVE, INC
NPI 1164620613
Chiropractor - Sports Physician in Maple Grove, MN
About Johnson Chiropractic Clinic Of Maple Grove, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNSON CHIROPRACTIC CLINIC OF MAPLE GROVE, INC (NPI 1164620613) is a healthcare organization registered as a sports physician in Maple Grove, Minnesota and active in the NPI registry since July 2007. The organization lists Keith Michael Johnson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Johnson Chiropractic Clinic Of Maple Grove, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Johnson Chiropractic Clinic Of Maple Grove, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Johnson Chiropractic Clinic Of Maple Grove, Inc's NPI number?
The NPI number for Johnson Chiropractic Clinic Of Maple Grove, Inc is 1164620613. It was assigned to this organization in the NPPES registry on July 6, 2007.
Where is Johnson Chiropractic Clinic Of Maple Grove, Inc located?
Johnson Chiropractic Clinic Of Maple Grove, Inc is located at 13700 83rd Way N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 420-4242.
What is Johnson Chiropractic Clinic Of Maple Grove, Inc's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Johnson Chiropractic Clinic Of Maple Grove, Inc enrolled in Medicare?
Yes. Johnson Chiropractic Clinic Of Maple Grove, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Johnson Chiropractic Clinic Of Maple Grove, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Johnson Chiropractic Clinic Of Maple Grove, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Johnson Chiropractic Clinic Of Maple Grove, Inc accept?
Health plans from HealthPartners list Johnson Chiropractic Clinic Of Maple Grove, Inc 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 Johnson Chiropractic Clinic Of Maple Grove, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Johnson Chiropractic Clinic Of Maple Grove, Inc · NPI 1164620613
Sports Physician organization in Maple Grove, Minnesota. Organization record, active in the CMS NPPES registry since July 6, 2007.
## Identity
- **NPI:** 1164620613 (Entity type: Organization)
- **Enumerated:** July 6, 2007
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **Organization subpart:** No
- **Authorized official:** Keith Johnson, PRESIDENT
## Practice location
- **Address:** 13700 83RD WAY N STE 200, Maple Grove, MN 55369-7015
- **Phone:** (763) 420-4242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1164620613) · Data from the CMS NPPES public registry.