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Active NPI 1710031117 Individual Practitioner Female Practitioner

Dr. Mary J Johnson , DC

Chiropractor • St Francis, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mary Johnson, DC is a registered healthcare professional specializing in Chiropractor in St Francis, MN. Practice services are available at 23624 ST FRANCIS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23624 St Francis Blvd
Suite 1

St Francis, MN 550700399

Telephone 7637533126
Fax 7637532808
Associated Practice Facility / Clinic
🏢 Gentle Care Chiropractic Facility NPI 1447652367

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in St Francis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
3 Specialists

Practicing in St Francis, MN (3487 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 2663

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
817228500 (MN)
Commercial Insurance / Payer ID Ccmi
231258
Commercial Insurance / Payer ID Bcbs Individual
4K009J0
Commercial Insurance / Payer ID Bcbs Clinic
4K008J0
Commercial Insurance / Payer ID Hsm
0125
Commercial Insurance / Payer ID Medica
4440078

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2012

Registered at 23624 ST FRANCIS BLVD, SUITE 1, ST FRANCIS, MN 550700399 (Tel: 7637533126)

📍
Updated Business Mailing Address July 10, 2012

Registered at 23624 ST. FRANCIS BLVD., STE #1, ST FRANCIS, MN 55070 (Tel: 7637533126)

👤
Provider Name / Credentials Updated July 10, 2012

Recorded as MARY JOHNSON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2012

Chiropractor (License #2663 in MN)

🟢
Initial NPI Registration & Enumeration January 22, 2007

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: 1710031117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 10, 2012
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

23624 St. Francis Blvd., Ste #1

St Francis, MN 55070

Phone: 7637533126

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.