Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DALLEN M JOHNSON, CAA. MSA
ActiveMR. DALLEN M JOHNSON, CAA. MSA is a Anesthesiologist Assistant healthcare provider located in RIO RANCHO, New Mexico. NPI 1629322151 is currently active in the NPPES registry. Verify at CMS.
Anesthesiologist Assistant · RIO RANCHO, NM
Registration Details
- NPI Number
- 1629322151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 6, 2012 (13.78699462782 yrs)
- Last Updated
- Dec 1, 2025
- Licenses
-
AA2024-0001 (NM)75000078A (IN)
Practice Information
- Address
-
3001 BROADMOOR BLVD NERIO RANCHO, NM, 871442100Browse NM providers · Browse ZIP 87144
- Phone
- 3852789148
- Primary Specialty
-
Anesthesiologist Assistant
367H00000X
- Additional Specialty
- Anesthesiologist Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.