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JOHNSON PERIODONTICS, PROF. LLC
NPI 1265949150
Dentist - Periodontics in Sioux Falls, SD

Active since January 02, 2018
3805 S KIWANIS CIR, SIOUX FALLS, SD 57105(605) 335-8830 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Johnson Periodontics, Prof. Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON PERIODONTICS, PROF. LLC (NPI 1265949150) is a healthcare organization registered as a periodontics in Sioux Falls, South Dakota and active in the NPI registry since January 2018. The organization maintains 2 additional practice locations and lists Paul Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1265949150
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameJOHNSON PERIODONTICS, PROF. LLC
Location Address3805 S KIWANIS CIRSioux Falls, SD 57105-4266
Mailing Address3805 S Kiwanis CirSioux Falls, SD 57105-4266
Phone(605) 335-8830
Organization SubpartNo
Authorized OfficialPaul JohnsonManager · (605) 335-8830
Enumeration DateJanuary 2, 2018
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1265949150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3805 S KIWANIS CIR, Sioux Falls, SD 57105
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Secondary Practice Locations 2

Location 1426 N Highway 281 Ste 1Aberdeen, SD 57401-1864 · Phone (605) 225-6555
Location 2150 Tower Rd Ste 110Dakota Dunes, SD 57049-8000 · Phone (605) 540-4477

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS L. KASSUBE DDS
Dentist (Periodontics)
3805 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-8830
KASSUBE & LANKFORD MIDWEST PERIODONTICS, PROF. LLC
Dentist (Periodontics)
3805 S KIWANIS CIR
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-8830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Periodontics, Prof. LLC's NPI number?

The NPI number for Johnson Periodontics, Prof. LLC is 1265949150. It was assigned to this organization in the NPPES registry on January 2, 2018.

Where is Johnson Periodontics, Prof. LLC located?

Johnson Periodontics, Prof. LLC is located at 3805 S Kiwanis Cir, Sioux Falls, SD 57105. The listed phone number is (605) 335-8830.

What is Johnson Periodontics, Prof. LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Johnson Periodontics, Prof. LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.