Dean Everett Johnson, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

15947 Issued in NE

Practice address

4508 38TH St
Suite 128
Columbus, NE 68601-1668

Phone

(402) 563-3616

Fax

(402) 563-0466

NPI assigned

Sep 20, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356448476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 38TH ST",
            "address_2": "SUITE 128",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-563-3616",
            "fax_number": "402-563-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 38TH ST",
            "address_2": "SUITE 128",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-563-3616",
            "fax_number": "402-563-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEAN",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "15947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "3886",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "3030",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47064690800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Marie Jensen, PT
• Dunia Jimenez
• Jerry Alan Jirka, D.C.
• JK Trainer, Inc
• Corrin J Johnson
• Kara Lynn Johnson, PHARMD
• Scarlett Rae Johnson
• Scott R Johnson
• Steven James Johnson, LMHP CPC
• Thomas M Johnson, BACHELORS DEGREE

• Obstetrics & Gynecology Physician in Columbus, NE
• Providers in Columbus, NE by specialty
• Obstetrics & Gynecology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.