Rodney Cordell Johns, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-55577 Issued in ID

Practice address

2818 S 25TH E
Idaho Falls, ID 83404-6509

Phone

(208) 243-8391

NPI assigned

Sep 15, 2011

Last updated

Aug 24, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kistler Dental PLLC

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1780355453
  NPD
• Id Dental Associates, P.C.

  • Dentist
  • Idaho Falls, ID
  • NPI 1033560578

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1912289885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W 25 N",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840158621",
            "telephone_number": "801-603-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 S 25TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046509",
            "telephone_number": "208-243-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 Pole Line Rd",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013042",
            "country_code": "US",
            "telephone_number": "208-944-3070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "RODNEY",
        "middle_name": "CORDELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "3082668-9922",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-55577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylnn Johansen
• John G Foster Crna PC
• Jared Thomas John, PSY
• Timmie Lyn John, LMSW
• Paul W. Johns, MD
• Sarah Rose Johnsen
• Alice Joan Johnson, MSN, APRN
• Alicia Johnson
• Anita Ann Johnson, M.T.
• Ashley Renee Johnson, LMSW

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.