Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Johnson Chiropractic Clinic of Maple Grove, Inc

Organization Sports Physician Chiropractor · NPI 1164620613

Johnson Chiropractic Clinic of Maple Grove, Inc provides Sports Physician Chiropractor services in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13700 83rd Way N Ste 200
Maple Grove, MN 55369-7015
Phone: (763) 420-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence 1844 (MN)

Record details

NPI number1164620613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Johnson — President · (763) 420-4242
NPI enumeratedJuly 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address13700 83rd Way N Ste 200, Maple Grove, MN 55369-7015

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