Robert C Johnson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2221 Issued in SD

Practice address

1200 S Euclid Ave
Ste # 212
Sioux Falls, SD 57105-7703

Phone

(605) 336-0635

Fax

(605) 336-7182

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1386692291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S EUCLID AVE",
            "address_2": "STE # 212",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057703",
            "telephone_number": "605-336-0635",
            "fax_number": "605-336-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S EUCLID AVE",
            "address_2": "STE # 212",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057703",
            "telephone_number": "605-336-0635",
            "fax_number": "605-336-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SD",
            "license": "2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956011",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340007599",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7500130",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Johnson, PHD
• Nichole Johnson
• Nicole Theresa Johnson, CNM
• Peter David Johnson, MD
• Rachel Kay Johnson
• Ryan M. Johnson, D.C
• Sarah Corrine Johnson, AU.D.
• Sean Johnson
• Steffanie Victoria Antoinette Johnson, RN
• Stephanie Jo Johnson, MD

• Urology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Urology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.