Individual provider Active NPI

Todd Christopher Johnson, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
National Provider Identifier
1205857901
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4163 Issued in SD
Practice address
101 Tower Rd Ste 103
Dakota Dunes, SD 57049-5007
Phone
(605) 217-7246
Fax
(605) 217-4878
NPI assigned
Jul 21, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 4163 SD Primary

Addresses

Primary practice location

101 Tower Rd Ste 103
Dakota Dunes, SD 57049-5007

Mailing address

573 Monterey TRL
Dakota Dunes, SD 57049-5284
Phone (605) 422-1130

Other identifiers 2

IdentifierTypeStateIssuer
5701170MedicaidSD
1141994MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051012000408 SD Practitioner - Anesthesiology 5799700316 Reassigns benefits to 2 organizations
I20070608000348 NE Practitioner - AnesthesiologyPractitioner - Pain Management 5799700316

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Sanford School of Medicine of University of South Dakota, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dunes Anesthesia PCGroup PAC ID 9537141254, 11 clinicians
Siouxland Anesthesiology LTDGroup PAC ID 2668453069, 34 clinicians

Practice addresses (Care Compare)

101 Tower Rd
Suite 103
Dakota Dunes, SD 57049-5007
Phone (605) 217-7246

600 N Sioux Point Rd
Dakota Dunes, SD 57049-5000
Phone (605) 242-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20595OKMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1205857901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 MONTEREY TRL",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495284",
            "telephone_number": "605-422-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 103",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-217-7246",
            "fax_number": "605-217-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TODD",
        "middle_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SD",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5701170",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141994",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.