Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Larry Dean Johnson, PA
Physician Assistant in Branson, MO · enumerated 2007.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1205970365
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Registry record
Entity type Individual (Type 1)
Name Larry Dean Johnson
Credential PA
Sex Male
Practice address 525 Branson Landing Blvd, Branson, MO, 65616
Phone (417) 348-8646
Fax (417) 335-7529
Enumeration date Feb 20, 2007
Last updated in NPPES May 26, 2021
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-263 (AR) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 2018044339 (MO) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84690 | Other | - | AR BLUE CROSS |
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.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Larry Johnson?
Larry Johnson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-26.