P Praxis·MD
● Active Type 1 · Individual

DR. John A Johnson, DDS

Dentist·Craigmont, ID· NPI 1609820521 · Enumerated 2006 · 20 years on NPI
Johnson is 1 of 1 dentist providers in Craigmont and 1 of 1099 in Idaho.
NPI age
20 years
Enumerated 2006-05-22
Primary specialty
Dentist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 1099 active dentist providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
420 N Division St.
Craigmont, ID 83523
📞 2089245830fax 2089247516
Mailing address
420 N. Division St., P.o. Box 188
Craigmont, ID 83523
📞 2089245830fax 2089247516

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    ID license #D1388 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (ID) 0017744400
01 (ID) 836142 UNITED CONCORDIA TDP
01 (ID) 1000932 REGENCE BLUE SHIELD
01 (ID) 6201-8 BLUE CROSS

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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