Todd P Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4937 Issued in WI

Practice address

3143 State Rd
Ste. #204
La Crosse, WI 54601-6964

Phone

(608) 788-3852

Fax

(608) 788-4242

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1396817987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 COUNTY ROAD PH STE 300",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508442",
            "telephone_number": "608-788-3852",
            "fax_number": "608-788-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3143 STATE RD",
            "address_2": "STE. #204",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016964",
            "telephone_number": "608-788-3852",
            "fax_number": "608-788-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TODD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4937",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@drtoddjohnson.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1202 County Road Ph Ste 300",
            "city": "Onalaska",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546508442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@drtoddjohnson.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1202 County Road Ph Ste 300",
            "city": "Onalaska",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546508442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Veronica Johnson, RN
• Tessa Johnson
• Tiffany Johnson, BSN
• Tiffany Christine Johnson, LPC
• Timothy J Johnson, MD
• Verity Jane Johnson
• Jesie Lynn Johnston
• Joshua R Johnston, M.D.
• Kaye L Johnston, PA
• Michael D. Joley, PA

• General Practice Dentistry in La Crosse, WI
• Providers in La Crosse, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.