Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristopher B Johnson, MD

Individual provider Surgery Physician · NPI 1265994446

Kristopher B Johnson, MD is a General Surgery in Watertown, South Dakota. Qualified in 2019, 7 years ago. Practices with Prairie Lakes Health Care System Inc, a 112-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
7
Licensed in
SD
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 9th Ave NW
Watertown, SD 57201-1548
Phone: (605) 882-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 15654 (SD)

Record details

NPI number1265994446
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing addressPo Box 1210, Watertown, SD 57201-6210

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prairie Lakes Health Care System Inc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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