Dave R Johnson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1584 Issued in SD

Practice address

101 E Minnesota St
Suite 260
Rapid City, SD 57701-7756

Phone

(605) 718-7450

Fax

(605) 718-7465

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1376896621
  Medicare reassignment NPD
• Black Hills Hospitalist

  • Internal Medicine Physician
  • Rapid City, SD
  • NPI 1073843124
  NPD (past) Authorized official
• Black Hills Surgical Hospital, LLC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1972630275
  NPD
• Rushmore Clinic, P.C.

  • Internal Medicine Physician
  • Rapid City, SD
  • NPI 1124184510
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1821038944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MINNESOTA ST",
            "address_2": "SUITE 260",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017756",
            "telephone_number": "605-718-7450",
            "fax_number": "605-718-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MINNESOTA ST",
            "address_2": "SUITE 260",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017756",
            "telephone_number": "605-718-7450",
            "fax_number": "605-718-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "1584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001252",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli J Jobman, DDS
• Mike E Joebgen, RPT
• John B. Jarding OD, LLC
• Andrea Johnson, B.S
• Christina Johnson
• David A Johnson, MD
• Delain Kay Johnson, MS-LPC, NCC
• Forrest A. Johnson
• Garett Johnson
• Jennifer Johnson, PA-C

• Internal Medicine Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Internal Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.