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Deactivated NPI 1578640694 Deactivated / Inactive NPI Male Practitioner

Dr. Kerry Lee Johnson , DC

Chiropractor • Apple Valley, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kerry Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date August 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kerry Johnson, DC was a registered Chiropractor practicing in Apple Valley, MN. Throughout an active medical career spanning 19 years, Dr. Johnson provided care at the practice location at 14859 ENERGY WAY until profile deactivation on 2025-08-28.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

14859 Energy Way

Apple Valley, MN 551245763

Telephone 9524323333
Fax 9524324444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Apple Valley, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
42 Specialists

Practicing in Apple Valley, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
66 17 $29.94 $25.60

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 2241

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1154776888

Doctor of Chiropractic

Danielle Bush

Chiropractor

NPI 1366211468
NPI 1558944264

Doctor of Chiropractic

NPI 1578658316

Doctor of Chiropractic

NPI 1710332432

Doctor of Chiropractic

NPI 1730534769

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active December 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 03, 2007

Registered at 14859 ENERGY WAY, APPLE VALLEY, MN 551245763 (Tel: 9524323333)

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Updated Business Mailing Address December 03, 2007

Registered at 14859 ENERGY WAY, APPLE VALLEY, MN 551245763 (Tel: 9524323333)

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Provider Name / Credentials Updated December 03, 2007

Recorded as KERRY JOHNSON, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2007

Chiropractor (License #2241 in MN)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578640694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: December 03, 2007
Deactivation Date: August 28, 2025

Mailing Address

14859 Energy Way

Apple Valley, MN 551245763

Phone: 9524323333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.