Dr. R. W. Johnson, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

D7816 Issued in MN

Legal business name

DR. R. W. JOHNSON, P.A.

Doing business as

Dental Health Center

Practice address

304 W Lyon St
Marshall, MN 56258-1308

Phone

(507) 532-2233

Fax

(507) 532-2234

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randy W Johnson, DDS

Title

Officer

Phone

(507) 532-2233

Specialties & licenses 1

Addresses

Other names 1

• Dental Health Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Warren Johnson, DDS

  • General Practice Dentistry
  • Marshall, MN
  • NPI 1659482669
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457486391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W LYON ST",
            "address_2": "P. O. BOX 448",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581308",
            "telephone_number": "507-532-2233",
            "fax_number": "507-532-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W LYON ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562581308",
            "telephone_number": "507-532-2233",
            "fax_number": "507-532-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. R. W. JOHNSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "507-532-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D7816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle Deutz, RD, LD
• Karen Dolan, LICSW
• Christina Donner, LADC
• Laura Anne Dorman, PA-C
• Jory Dove, LPCC
• Loreen Kay Dragstra
• Jessica Lin Dressen, LPN, IBCLC
• Rebecca Drietz-Steinbronn, LICSW
• Duraiappa Dental Services PC
• Kelly Dvorak, D.C.

• Dentist in Marshall, MN
• Providers in Marshall, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.