Randi Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14908 Issued in MN

Practice address

119 1St St NE
Little Falls, MN 56345-1467

Phone

(320) 632-6621

NPI assigned

Jun 8, 2023

Sex

Female

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

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1245914472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19052 195TH AVE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563456569",
            "telephone_number": "320-630-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 1ST ST NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563451467",
            "telephone_number": "320-632-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RANDI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Paul Johnson, DPT
• Jacquelyn Lee Johnson, C.N.P.
• Janine Johnson, RN, CNP
• Lisa Ann Johnson
• Paul Ryan Johnson, D.O.
• David Jorgensen, M.D.
• Jennifer Jane Jude, DDS
• Tina Kalis
• Kathleen Anderson Ms LMFT LLC
• Julia Keehr-Oleson

• Dentist in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.