Active NPI
Dr Casey D. Johnston MD PC
- Orthopaedic Surgery Physician
- Watertown, SD
National Provider Identifier
1124348644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DR CASEY D. JOHNSTON MD PC
- Practice address
- 401 9TH Ave NW
Watertown, SD 57201-1548 - Phone
- (605) 882-2630
- Fax
- (605) 882-0447
- NPI assigned
- Jun 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Casey D Johnston, MD
- Title
- Provider and Owner
- Phone
- (605) 882-2630
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
401 9TH Ave NW
Watertown, SD 57201-1548
Mailing address
PO Box 170
Watertown, SD 57201-0170
Phone (605) 882-2630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR3580 | Other | SD | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Watertown, SD
- NPI 1437173424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308873600000",
"number": "1124348644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572010170",
"telephone_number": "605-882-2630",
"fax_number": "605-882-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 9TH AVE NW",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572011548",
"telephone_number": "605-882-2630",
"fax_number": "605-882-0447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CASEY D. JOHNSTON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-07",
"last_updated": "2011-06-24",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PROVIDER AND OWNER",
"authorized_official_telephone_number": "605-882-2630",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DR3580",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.