NPI age
19 years
Enumerated 2007-02-13
● Active
Type 1 · Individual
DR. Jeffrey W Johnson, DDS, MS
Johnson is 1 of 21 dentist providers in Idaho Falls and 1 of 135 in Idaho.
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-07-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 135 active dentist providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
17% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
333 S Woodruff Ave
Idaho Falls, ID 834014322
Mailing address
333 S Woodruff Ave
Idaho Falls, ID 834014322
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805176600 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 135 Dentist providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.