Organization Active NPI

David L. Johnson, MD, LTD

  • Psychiatry Physician
  • Bloomington, MN
National Provider Identifier
1346836673
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DAVID L. JOHNSON, MD, LTD
Practice address
8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843
Phone
(952) 395-7212
Fax
(952) 831-0530
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
David L Johnson, MDNPI 1902913239
Title
Employee/Employer S Corp
Phone
(952) 395-7212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

8400 Normandale Lake Blvd Ste 920
Bloomington, MN 55437-3843

Mailing address

9833 Chowen Ave S
Bloomington, MN 55431-2748
Phone (952) 999-0861

Other identifiers 3

IdentifierTypeStateIssuer
15-20048OtherMEDICA/UBH
315767900MedicaidMN
D73252OtherMEDICARE UPIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dljmd@me.com Other
Direct Messaging Address dljmd@me.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

431 S 7th St
Ste 2402
Minneapolis, MN 55415
Phone (612) 708-4242

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1346836673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 CHOWEN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312748",
            "telephone_number": "952-999-0861",
            "fax_number": "952-831-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 NORMANDALE LAKE BLVD STE 920",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554373843",
            "telephone_number": "952-395-7212",
            "fax_number": "952-831-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. JOHNSON, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EMPLOYEE/EMPLOYER S CORP",
        "authorized_official_telephone_number": "952-395-7212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA/UBH",
            "identifier": "15-20048",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315767900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "D73252",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dljmd@me.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "pt messages and refill requests",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8400 Normandale Lake Blvd Ste 920",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554373843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dljmd@me.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8400 Normandale Lake Blvd Ste 920",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554373843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.