Active NPI
Alex Johnson, DDS
- Dentist
- Monroe, MI
National Provider Identifier
1003300849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901022714
- Practice address
- 709 Westwood Dr
Monroe, MI 48161-1857 - Phone
- (734) 242-8230
- NPI assigned
- Jun 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901022714 | MI | Primary |
Addresses
Primary practice location
709 Westwood Dr
Monroe, MI 48161-1857
Mailing address
709 Westwood Dr
Monroe, MI 48161-1857
Phone (734) 242-8230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901022714 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A & J Dental Associates | Past | Accepting new patients | |
| Westwood Dental, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Monroe, MI
- NPI 1972380277
-
- General Practice Dentistry
- Monroe, MI
- NPI 1720204100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1003300849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 WESTWOOD DR",
"city": "MONROE",
"state": "MI",
"postal_code": "481611857",
"telephone_number": "734-242-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 WESTWOOD DR",
"city": "MONROE",
"state": "MI",
"postal_code": "481611857",
"telephone_number": "734-242-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ALEX",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901022714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.