Edwina V. Johnson, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

S 4606 Issued in OK

Legal business name

EDWINA V. JOHNSON, D.D.S., P.C.

Practice address

4200 Hemingway Dr
Oklahoma City, OK 73118-2235

Phone

(405) 557-1245

NPI assigned

Sep 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Edwina Virginia Johnson, D.D.S.

Title

Dentist

Phone

(405) 557-1245

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dental Works Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003003831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HEMINGWAY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182235",
            "telephone_number": "405-557-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HEMINGWAY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182235",
            "telephone_number": "405-557-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWINA V. JOHNSON, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-557-1245",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "S 4606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL ID",
            "identifier": "1316049141",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID OK",
            "identifier": "731231901001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott D Edwards, TRIAGE SPECIALIST
• Shiree Edwards
• Sidney Lashell Edwards
• Susan M Edwards, MD
• Verna Edwards
• Effective Communication LLC
• Effective Counseling & Therapy, LLC
• Alphons Gregory Efiom
• Elizabeth Efiom, BHRS
• Queen Efiom, LCSW

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.