Healthcare Provider Details

I. General information

NPI: 1952218596
Provider Name (Legal Business Name): JOHNSON CHIROPRACTIC & ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4627 W HOMEFIELD DR
SIOUX FALLS SD
57106-3511
US

IV. Provider business mailing address

4627 W HOMEFIELD DR
SIOUX FALLS SD
57106-3511
US

V. Phone/Fax

Practice location:
  • Phone: 605-336-2010
  • Fax: 605-336-2010
Mailing address:
  • Phone: 605-336-2010
  • Fax: 605-336-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: RYAN MATHEW JOHNSON
Title or Position: CHIROPRACTOR ASSOCIATE
Credential: DC
Phone: 605-336-2010