Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Johnson Chiropractic Clinic of Maple Grove, Inc

Organization Sports Physician Chiropractor · NPI 1164620613

Johnson Chiropractic Clinic of Maple Grove, Inc is a Sports Physician Chiropractor 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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