Bryan C. Johnson, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M995 Issued in SD

Legal business name

BRYAN C. JOHNSON, DDS, PC

Practice address

309 S Main St
Milbank, SD 57252-1810

Phone

(605) 432-9531

Fax

(605) 432-4830

NPI assigned

Feb 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bryan C JohnsonNPI 1770573347

Title

President

Phone

(605) 432-9531

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Johnson, DDS

  • General Practice Dentistry
  • Milbank, SD
  • NPI 1770573347
  NPD (past) Authorized official
• Gerald Lee Fields, DDS

  • General Practice Dentistry
  • Milbank, SD
  • NPI 1386634061
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114067048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S MAIN ST",
            "address_2": "P.O. BOX 107",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521810",
            "telephone_number": "605-432-9531",
            "fax_number": "605-432-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S MAIN ST",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521810",
            "telephone_number": "605-432-9531",
            "fax_number": "605-432-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN C. JOHNSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-432-9531",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin L Bjordahl, M.D.
• Travis Bjordahl, D.D.S.
• Kristy Nichole Boettcher, PTA
• Mary G Bray
• Wendy Kristine Breske, LCSW-PIP
• Leshea Marie Buttke, DO
• Conroy Eye Care PC
• John Allen Conroy, OD
• Dr Timothy Whelan
• Austin Eggers, MD

• General Practice Dentistry in Milbank, SD
• Providers in Milbank, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.