Mark J Johnson DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK J JOHNSON DDS PA

Practice address

6600 France Ave S Ste 310
Edina, MN 55435-1803

Phone

(952) 941-1911

NPI assigned

Dec 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Johnson, DDSNPI 1043361975

Title

Owner

Phone

(952) 941-1911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Joseph Johnson, DDS

  • General Practice Dentistry
  • Richfield, MN
  • NPI 1043361975
  NPD Authorized official

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1700693256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 310",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351803",
            "telephone_number": "952-941-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 310",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351803",
            "telephone_number": "952-941-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J JOHNSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-941-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianna Enterprises, Inc
• Marie Joycelyn Lua, DMD, Ms, PA
• Judith Thelma Marino
• Mark C Engasser M D P a
• Mark C. Engasser MD PA
• Mark R Migliori, MD, PA
• John Charles Marker, DDS, MS
• Steven T Maroney, DDS
• Vanessa Marquez
• Brandi Tsama Marsh-Nnadi, M.D., PH.D.

• Dental Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.