Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kissendrah Sue Johnson

Dentist in Isleta, NM · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124502984

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Registry record

Entity type Individual (Type 1)

Name Kissendrah Sue Johnson

Sex Female

Practice address 01 Sagebrush Street, Isleta, NM, 87022

Phone (505) 869-4866

Fax (502) 869-4881

Enumeration date Sep 18, 2018

Last updated in NPPES Sep 18, 2018

Taxonomy & licenses

122300000X Dentist Dental Providers · License DD4977 (NM) Primary

Other identifiers

Identifier	Type	State	Issuer
DD4977	Other	NM	LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kissendrah Johnson?

The National Provider Identifier (NPI) for Kissendrah Johnson is 1124502984, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kissendrah Johnson practice?

The practice location on file with NPPES is in Isleta, NM. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-09-18.