Larry Dean Johnson, PA
Larry Dean Johnson is a Physician Assistant provider (Physician Assistant) practicing in Branson, MO, registered in the NPPES registry with NPI 1205970365 since 2007. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205970365 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Larry Dean Johnson |
| Credential | PA |
| Sex | Male |
| Practice address | 525 BRANSON LANDING BLVD, Branson, MO, 65616 |
| Phone | 4173488646 |
| Fax | 4173357529 |
| Enumeration date | 2007-02-20 |
| Last updated in NPPES | 2021-05-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | PA-263 | AR |
| 363A00000X | Physician Assistant | Primary | 2018044339 | MO |
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 |
Copy-ready billing details
Provider: Larry Johnson, PA NPI: 1205970365 Taxonomy: 363A00000X (Physician Assistant) Address: 525 BRANSON LANDING BLVD, Branson, MO, 65616
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659376739 | Douglas Hughes | Individual | Diagnostic Radiology Physician | Branson, MO |
| 1275531683 | Anthony Wheeler | Individual | Radiation Oncology Physician | Branson, MO |
| 1497753446 | Richard Makuch | Individual | Diagnostic Radiology Physician | Branson, MO |
| 1427045780 | Drew Garcia | Individual | Physician Assistant | Branson, MO |
| 1356320436 | Lance Borup | Individual | Diagnostic Radiology Physician | Branson, MO |
| 1760443980 | Skaggs Community Hospital Association | Organization | General Acute Care Hospital | Branson, MO |
| 1952366346 | Sandra Snider | Individual | Anesthesiology Physician | Branson, MO |
| 1013973296 | White River Anesthesia Associates, Inc | Organization | Anesthesiology Physician | Branson, MO |
Verify this record
Cross-check NPI 1205970365 against the authoritative CMS record: view Larry Dean Johnson on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-26.