Ronald Todd Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6693 Issued in KY

Practice address

822 N Elm St
Henderson, KY 42420-2709

Phone

(270) 826-8899

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of Indiana, P.C.

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1265654701
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1073670394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 OAKHURST BND",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034444",
            "telephone_number": "270-663-1080",
            "fax_number": "719-652-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202709",
            "telephone_number": "270-826-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12901 Highway 41 N",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477258527",
            "country_code": "US",
            "telephone_number": "812-484-0195",
            "fax_number": "812-484-0197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RONALD",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014034A",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Clay Jennings, DMD
• Jessica H. Renaker, DMD PLLC
• John B Rashidian M.D.,PSC
• John McClellan
• Kaci O Johns
• Cheryl Lee Jones, H.I.S.
• William T Jones, MD
• Julie L. Watson
• Jenna Kamuf, LPCA
• Jovil Kannampuzha, M.D.

• General Practice Dentistry in Henderson, KY
• Providers in Henderson, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.