Johnson Periodontics, Prof. LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

JOHNSON PERIODONTICS, PROF. LLC

Practice address

3805 S Kiwanis Cir
Sioux Falls, SD 57105-4266

Phone

(605) 335-8830

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Paul Johnson, DDS

Title

Manager

Phone

(605) 335-8830

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas L. Kassube, DDS

  • Periodontics
  • Sioux Falls, SD
  • NPI 1184792236
  NPD (past)

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1265949150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 S KIWANIS CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054266",
            "telephone_number": "605-335-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 N Highway 281 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Aberdeen",
            "state": "SD",
            "postal_code": "574011864",
            "country_code": "US",
            "telephone_number": "605-225-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Tower Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dakota Dunes",
            "state": "SD",
            "postal_code": "570498000",
            "country_code": "US",
            "telephone_number": "605-540-4477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON PERIODONTICS, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-335-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Meylann-Chau Johansen
• Logan Johnke, MD
• Austin Johnsen, RPH
• Johnson Chiropractic & Acupuncture
• Johnson Chiropractic & Acupuncture
• Diane Teresa Johnson-Mitchell, LPC-MH, QMHP
• Amber Marie Johnson, CNP
• Andrew C Johnson, DDS
• Andrew Timothy Johnson, RN
• Angela Johnson, PHARMD, BCGP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.