Bartholomew Paul Johnson, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13090 Issued in MN

Practice address

401 Jewett St
Marshall, MN 56258-2605

Phone

(507) 532-3104

Fax

(507) 537-1347

NPI assigned

May 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Locations

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.

• Johnson Family Dental Care LLC

  • General Practice Dentistry
  • Marshall, MN
  • NPI 1750651527
  NPD Authorized official
• Michael R Thomas DDS

  • Dentist
  • Marshall, MN
  • NPI 1073745725
  NPD (past)

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1144580358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582605",
            "telephone_number": "507-532-3104",
            "fax_number": "507-537-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JEWETT ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582605",
            "telephone_number": "507-532-3104",
            "fax_number": "507-537-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BARTHOLOMEW",
        "middle_name": "PAUL",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Janssen
• Talicia Jarcho, RN, PMHNP
• Jim Horgan Ma, LP
• Karen Marie Jirovec, LICSW
• Johnson Family Dental Care LLC
• Kasey Marie Johnson, PHARM.D.
• Kelly Jo Johnson, RN
• Paul D Johnson, DDS
• Randall Warren Johnson, DDS
• Jorzach Inc

• General Practice Dentistry in Marshall, MN
• Providers in Marshall, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.