DRS. Johnson and Yseth, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9283 Issued in MN

Legal business name

DRS. JOHNSON AND YSETH, P.A.

Practice address

229 Jackson St
Suite 117
Anoka, MN 55303-2287

Phone

(763) 421-3330

Fax

(763) 421-3331

NPI assigned

Nov 15, 2006

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. Mark Fredrick Yseth, D.D.S.NPI 1093705477

Title

Chief Financial Officer

Phone

(763) 421-3330

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.

• Mark Frederick Yseth, D.D.S.

  • General Practice Dentistry
  • Anoka, MN
  • NPI 1093705477
  NPD (past) Authorized official
• Richard Edwin Johnson, DDS

  • General Practice Dentistry
  • Anoka, MN
  • NPI 1891785549
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184796740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 JACKSON ST",
            "address_2": "SUITE 117",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032287",
            "telephone_number": "763-421-3330",
            "fax_number": "763-421-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 JACKSON ST",
            "address_2": "SUITE 117",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032287",
            "telephone_number": "763-421-3330",
            "fax_number": "763-421-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. JOHNSON AND YSETH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YSETH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "763-421-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle D Dokken
• Yijie Dong, MD, PHD
• Robert Richard Donlin Jr., DDS
• Marcie Ann Drayton
• Samantha Drews
• Bridget Ann Duerr, LMT
• Jessica Lynn Duerr, L.AC.
• Adrian D Duffy, M.D.
• Eileen J. Duffy, M.D.
• Gene Gerald Dvoracek, D.D.S.

• General Practice Dentistry in Anoka, MN
• Providers in Anoka, 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 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.