Sydney Elizabeth Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14369 Issued in MN

Practice address

14061 Saint Francis Blvd
Ramsey, MN 55303-4692

Phone

(763) 576-1855

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sydney Elizabeth Cyzon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rivers Bend Family Dental PLLC

  • Dental Clinic/Center
  • Ramsey, MN
  • NPI 1245849629
  NPD

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1639794837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 W BLUEMOUND RD APT 5",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532133973",
            "telephone_number": "920-217-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14061 SAINT FRANCIS BLVD",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553034692",
            "telephone_number": "763-576-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SYDNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "CYZON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurel Jean Iverson, L.M.T.
• Jamie St Marie DDS PLLC
• Kristen Louise Johnson, OT
• Michael D Johnson, MA, APRN, CRNP
• Shanna K Johnson, PT
• Stephanie Juelich, NP
• Jujustransit L.L.C.
• Amanda Nicole Jungmann, PT, DPT
• Selina Tutu Keemah
• Everlyne Diona Kegege

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.