Benjamin David Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D1437 Issued in SD

Practice address

2804 E 26TH St Ste 1
Sioux Falls, SD 57103-4035

Phone

(605) 331-5656

NPI assigned

Jun 3, 2024

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1245071414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25790 COUNTRY LN",
            "city": "RENNER",
            "state": "SD",
            "postal_code": "570556402",
            "telephone_number": "605-929-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 E 26TH ST STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034035",
            "telephone_number": "605-331-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew C Johnson, DDS
• Andrew Timothy Johnson, RN
• Angela Johnson, PHARMD, BCGP
• Annette Marie Johnson, PHARM.D.
• Becky Lee Johnson, MS LPC
• Bianca Johnson, MD
• Bianca Kay Johnson
• Bruce Edward Johnson, CHIROPRACTOR
• Carli Jo Johnson
• Colton-Ross Alan Johnson, PT, DPT

• Dentist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.