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JAYDEN JACK JOHNSON
NPI 1679464119
Military Health Care Provider in Brookings, SD

Active since July 12, 2025
527 5TH AVE S APT F6, BROOKINGS, SD 57006(605) 924-0521 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jayden Jack Johnson NPPES

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

JAYDEN JACK JOHNSON (NPI 1679464119) is an individual military health care provider provider in Brookings, South Dakota, licensed in (E3904089) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1679464119
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJAYDEN JACK JOHNSON
Location Address527 5TH AVE S APT F6Brookings, SD 57006-3340
Mailing Address527 5th Ave S Apt F6Brookings, SD 57006-3340 · (605) 924-0521
Phone(605) 924-0521
Sole ProprietorYes
Enumeration DateJuly 12, 2025
NPPES CertifiedJuly 12, 2025
✔ NPI 1679464119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed · E3904089
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License E3904089
527 5TH AVE S APT F6, Brookings, SD 57006
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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 Jayden Johnson's NPI number?

The NPI number for Jayden Johnson is 1679464119. It was assigned to this individual provider in the NPPES registry on July 12, 2025.

Where is Jayden Johnson located?

Jayden Johnson practices at 527 5th Ave S Apt F6, Brookings, SD 57006. The listed phone number is (605) 924-0521.

What is Jayden Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Jayden Johnson was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.