Jayden Jack Johnson

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

E3904089

Practice address

527 5TH Ave S Apt F6
Brookings, SD 57006-3340

Phone

(605) 924-0521

NPI assigned

Jul 12, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1679464119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 5TH AVE S APT F6",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063340",
            "telephone_number": "605-924-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 5TH AVE S APT F6",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063340",
            "telephone_number": "605-924-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAYDEN",
        "middle_name": "JACK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": "E3904089",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "E3904089",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P. Bisson, D.D.S., P.L.L.C
• Evelyn Johner
• Brenda Lenae Johnson, CNP
• Debra K. Johnson, MS LPCMH
• Geoffrey B Johnson, DDS
• Jeffrey Paul Johnson, M.D.
• Katie R Jones, CNP
• Lisa M Jones
• Matthew Howard Jones, D.C.
• Nephi Jones, DPM

• Military Health Care Provider in Brookings, SD
• Providers in Brookings, SD by specialty
• Military Health Care Provider in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.