Johnson Chiropractic Clinic of Maple Grove, Inc
NPI 1164620613 · Sports Physician Chiropractor · Maple Grove, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnson Chiropractic Clinic of Maple Grove, Inc is a Sports Physician Chiropractor organization in Maple Grove, MN (NPI 1164620613).
Provider details
- NPI number
- 1164620613
- Entity type
- Organization
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Keith Johnson, President(763) 420-4242
- License
- 1844 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Johnson Chiropractic Clinic of Maple Grove, Inc's NPI number?
- Johnson Chiropractic Clinic of Maple Grove, Inc's National Provider Identifier (NPI) is 1164620613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnson Chiropractic Clinic of Maple Grove, Inc?
- Johnson Chiropractic Clinic of Maple Grove, Inc is classified in the NPPES registry as Sports Physician Chiropractor (Chiropractic Providers).
- Where is Johnson Chiropractic Clinic of Maple Grove, Inc located?
- Johnson Chiropractic Clinic of Maple Grove, Inc's practice location on file with NPPES is 13700 83rd Way N Ste 200, Maple Grove, MN 55369-7015.
- What is Johnson Chiropractic Clinic of Maple Grove, Inc's phone number?
- The practice phone number listed in the NPPES registry for Johnson Chiropractic Clinic of Maple Grove, Inc is (763) 420-4242.
- Does Johnson Chiropractic Clinic of Maple Grove, Inc accept Medicare?
- Johnson Chiropractic Clinic of Maple Grove, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Johnson Chiropractic Clinic of Maple Grove, Inc?
- The authorized official listed on Johnson Chiropractic Clinic of Maple Grove, Inc's NPPES record is Keith Johnson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnson Chiropractic Clinic of Maple Grove, Inc's NPI active?
- Yes — Johnson Chiropractic Clinic of Maple Grove, Inc's NPI (1164620613) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.