DR. JAY W JOHNSON D.C.
NPI 1679760219
Chiropractor in Detroit Lakes, MN

Q: What is Jay Johnson's NPI number?

The NPI number for Jay Johnson is 1679760219. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Q: What is Jay Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jay Johnson was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 27, 2007Accepts Medicare Assignment

1208 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-2809 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jay W Johnson D.c. NPPES

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

DR. JAY W JOHNSON D.C. (NPI 1679760219) is an individual chiropractor in Detroit Lakes, Minnesota, licensed in Minnesota (2718) and active in the NPI registry since September 2007. He is a graduate of Other (1989).

NPPES Registry Identity

NPI1679760219

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. JAY W JOHNSONCredential: D.C.

Location Address1208 WASHINGTON AVEDetroit Lakes, MN 56501-3906

Mailing Address1208 Washington AveDetroit Lakes, MN 56501-3906 · (218) 847-2809

Phone(218) 847-2809

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateSeptember 27, 2007

Last NPPES UpdateSeptember 14, 2009

✔ NPI 1679760219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 2718

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.

1208 WASHINGTON AVE, Detroit Lakes, MN 56501

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Other Identifiers 1

Medicare PIN350002679MN

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. Jay W Johnson D.c. 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 ID6103915228

PECOS Enrollment IDI20071127000659

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.

226 services47 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.

59 services17 patients

Other Providers at the Same Location NPPES

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

JOHNSON NATURAL HEALTH CARE PA

Chiropractor

1208 WASHINGTON AVE
DETROIT LAKES, MN 56501

Becker County (218) 847-2809

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 Jay Johnson's NPI number?

The NPI number for Jay Johnson is 1679760219. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Jay Johnson located?

Jay Johnson practices at 1208 Washington Ave, Detroit Lakes, MN 56501. The listed phone number is (218) 847-2809.

What is Jay Johnson's specialty?

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

Is Jay Johnson enrolled in Medicare?

Yes. Jay 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.

When was this NPI record last updated?

The NPPES record for Jay Johnson was last updated on September 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.