OrganizationActive
Bryan D. Johnson, DDS, PA
NPI 1043208267 · General Practice Dentistry · Madison Lake, MN
Bryan D. Johnson, DDS, PA is a General Practice Dentistry organization in Madison Lake, MN (NPI 1043208267).
Provider details
- NPI number
- 1043208267
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Bryan Johnson, Dentist(507) 243-3747
- License
- D9815 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
516 Main Street
Madison Lake, MN 56063
Phone: (507) 243-3747
Fax: (507) 243-3866
Street-level locationGet directions
Mailing address
Po Box 458
Madison Lake, MN 56063-0458
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2020-08-22
Frequently asked questions
- What is Bryan D. Johnson, DDS, PA's NPI number?
- Bryan D. Johnson, DDS, PA's National Provider Identifier (NPI) is 1043208267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bryan D. Johnson, DDS, PA?
- Bryan D. Johnson, DDS, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Bryan D. Johnson, DDS, PA located?
- Bryan D. Johnson, DDS, PA's practice location on file with NPPES is 516 Main Street, Madison Lake, MN 56063.
- What is Bryan D. Johnson, DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Bryan D. Johnson, DDS, PA is (507) 243-3747.
- Who is the authorized official for Bryan D. Johnson, DDS, PA?
- The authorized official listed on Bryan D. Johnson, DDS, PA's NPPES record is Bryan Johnson, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bryan D. Johnson, DDS, PA's NPI active?
- Yes — Bryan D. Johnson, DDS, PA's NPI (1043208267) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.