MARK ALAN JOHNSON (D.C.) – Chiropractor, NPI 1063418077

MARK ALAN JOHNSON (D.C.) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 3167 (MN). The NPI Number for MARK ALAN JOHNSON (D.C.) is 1063418077

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALAN JOHNSON (D.C.)
NPI
1063418077
Phone
(612) 332-8292
Address
825 NICOLLET MALL
Enumeration Date
23 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
6123328292
Graduation Year
1993 (33 years ago)
PAC ID
3678642386
Professional Enrollment ID
I20080521000524
Address ID
MN554023394MI900XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,642 CHIROPRACTIC in MN

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Provider Addresses for MARK ALAN JOHNSON (D.C.)

  • Nicollet Mall, South 5th Street, Minneapolis, Hennepin County, Minnesota, 55415, United States

    STE 1845

    MINNEAPOLIS, MN 554022706

    Phone: (612) 332-8292

    Fax: (612) 332-5972

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080521000524IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions19623$0
98940Chiropractic manipulative treatment, 1-2 spinal regions11323$0
View full utilization report →

Insurance plans in this area (ZIP 55402)

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Reviews

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Frequently asked questions

What is the registry number for MARK ALAN JOHNSON (D.C.)?
The registry entry for MARK ALAN JOHNSON (D.C.) shows NPI 1063418077.
Is MARK ALAN JOHNSON (D.C.) currently accepting referrals based on NPI status?
Registry metadata lists MARK ALAN JOHNSON (D.C.) as active.
How should patients interpret MARK ALAN JOHNSON (D.C.)'s specialty?
The extract shows Chiropractor for MARK ALAN JOHNSON (D.C.). Clinical services aligned with this taxonomy classification.
Can patients visit MARK ALAN JOHNSON (D.C.) in Minneapolis, Minnesota?
For routing, start with Minneapolis, Minnesota for MARK ALAN JOHNSON (D.C.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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