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

Dr. Nicholas Ryan Johnson, DC

Individual provider Chiropractor · NPI 1750651022

Dr. Nicholas Ryan Johnson, DC is a Chiropractic in Glencoe, Minnesota. Graduated from Northwestern College of Chiropractic in 2011, 15 years ago. Practices with Pure Life Chiropractic and Wellness Center, Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Trained at
Northwestern College of Chiropractic
Licensed in
MN
In the registry since
2012
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

920 10th St E
Glencoe, MN 55336-2301
Phone: (320) 864-6249
Fax: (320) 864-6243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 5603 (MN)

Record details

NPI number1750651022
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 23, 2012
Mailing address920 10th St E, Glencoe, MN 55336-2301

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNORTHWESTERN COLLEGE OF CHIROPRACTIC
Graduated 2011 (15 years in practice)
Group practice Pure Life Chiropractic And Wellness Center, Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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