DR. MARK ROBERT JOHNSON (NPI# 1225189533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225189533 |
| Entity Type | Individual |
| Full Name | DR. MARK ROBERT JOHNSON |
| Credential | D.C. |
| Practice Address |
2780 Snelling Ave N Suite 301 Roseville MN 55113-7115 |
| Mailing Address |
408 4th Ave Ne Osseo MN 55369-1122 |
| Practice Telephone | 6516339667 |
| Practice Fax Number | 6516334203 |
| Mailing Telephone | 7634252347 |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2010 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1437692787 | Mark Johnson | Pharmacist | 500 N Claude Lord Boulevard, Pottsville, PA 17901-3868 | 2016-11-18 |
| 1902277734 | Mark Johnson Sr. | Counselor | 5310 Eagle Creek Blvd, Shakopee, MN 55379-8617 | 2015-10-20 |
| 1295175966 | Mark Johnson | Pharmacist | 418 Opal Ln, Hibbing, MN 55746-3844 | 2013-06-26 |
| 1275971988 | Mark A Johnson | Dentist | 1714 W Hunt Hwy Ste 100, Queen Creek, AZ 85143-5245 | 2013-06-05 |
| 1598009938 | Mark R Johnson | Pharmacist | 273 12th St Ne, Unit 313, Atlanta, GA 30309-3853 | 2012-11-26 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| 1881953578 | Mark Joseph Johnson | Anesthesiology | 2810 N Swan Rd Ste 1002810n, Tucson, AZ 85712-6305 | 2012-05-15 |
| 1811261662 | Mark Johnson | Physical Therapist | 3303 Sw Bond Ave Fl 1, Portland, OR 97239-4501 | 2012-02-25 |
| 1639470636 | Mark Johnson | Counselor | 4314 W Lovers Ln, Dallas, TX 75209-2804 | 2010-11-06 |
| Street Address |
2780 SNELLING AVE N SUITE 301 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-7115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255301743 | Sanjeev Arora | Specialist | 2780 Snelling Ave N, Suite 304, Roseville, MN 55113-7115 | 2006-01-25 |
| 1548568108 | Beilby Chiropractic and Wellness Clinic, LLC | Chiropractor | 2780 Snelling Ave N, Suite 301, Roseville, MN 55113-7115 | 2011-03-07 |
| 1336471390 | Back To It Chiropractic Pllc | Chiropractor | 2780 Snelling Ave N, Suite 301, Roseville, MN 55113-7115 | 2010-02-02 |
| 1174776561 | The Center for Christian Psychological Services | Clinic/Center | 2780 Snelling Ave N, Suite 104, Roseville, MN 55113-7115 | 2008-10-29 |
| 1881718708 | Quandtum Family Chiropractic | Chiropractor | 2780 Snelling Ave N, Suite 301, Roseville, MN 55113-7115 | 2007-03-17 |
| 1487796397 | Nadig Chiropractic | Chiropractor | 2780 Snelling Ave N, Suite 301, Roseville, MN 55113-7115 | 2007-02-14 |
| 1568513877 | Benedikt Anton Nadig | Chiropractor | 2780 Snelling Ave N, Suite 301, Roseville, MN 55113-7115 | 2007-01-15 |
| 1558428250 | Mark E. Quandt | Chiropractor | 2780 Snelling Ave N, Suite 301, Roseville, MN 55113-7115 | 2007-01-02 |
| 1790858264 | James Archie Peasley | Marriage & Family Therapist | 2780 Snelling Ave N, #104, Roseville, MN 55113-7115 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718547 | Alex Anders- Cook D.c., A Life Clinic Corporation | Chiropractor | 1435 E Roseville Pkwy, Roseville, CA 95661-3066 | 2019-12-26 |
| 1104469204 | Zachary Thomas Owens | Chiropractor | 201 Harding Blvd Ste J, Roseville, CA 95678-2814 | 2019-10-21 |
| 1649743220 | Platinum Health Regenerative Solutions, Pa | Chiropractor | 2780 Snelling Ave N Ste 202, Roseville, MN 55113-7126 | 2019-01-07 |
| 1841771730 | Sarah Renee Ward | Chiropractor | 1098 Melody Ln Ste 102, Roseville, CA 95678-5138 | 2018-08-28 |
| 1578042206 | Senyi Ly | Chiropractor | 2345 Rice St Ste 155, Roseville, MN 55113-3720 | 2018-08-13 |
| 1588150049 | Out and About Chiropractic Pllc | Chiropractor | 1484 Clarmar Ave W, Roseville, MN 55113-1608 | 2018-07-09 |
| 1497258388 | Hannah Elizabeth Flammang Wong | Chiropractor | 2235 Douglas Blvd Ste 520, Roseville, CA 95661-4266 | 2018-03-16 |
| 1518331065 | Zawada Chiropractic Inc | Chiropractor | 1441 Secret Ravine Pkwy Ste 140, Roseville, CA 95661-6044 | 2015-11-20 |
| 1811327182 | Chris King | Chiropractor | 2101 Lemontree Way, Roseville, CA 95747-8865 | 2013-11-22 |
| 1851665863 | Anupam Arman | Chiropractor | 1137 Smith Ln, 8, Roseville, CA 95661-4103 | 2012-03-08 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.