Riley D Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12345191-9922 Issued in UT

Practice address

2954 Carrington Rd
Fort Bliss, TX 79916

Phone

(720) 630-5324

NPI assigned

Sep 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1003584996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1019 KAIHOI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066222",
            "telephone_number": "720-630-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 CARRINGTON RD",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "79916",
            "telephone_number": "720-630-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 Heard Street BLDG. 556",
            "address_purpose": "LOCATION",
            "city": "Schofield Barracks",
            "state": "HI",
            "postal_code": "96857",
            "country_code": "US",
            "telephone_number": "720-630-5324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RILEY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12345191-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Jaramillo, MSN, PMHNP-BC
• Joshua Mingoo Jeon, DDS
• Amanda Evalee Johns, RN
• David Johnson IV, MD
• Jason Y Johnson, MD
• Joshua David Jones, PA-C
• Christopher Hugh Julian, DSC., OTR/L, CHT
• Jacqueline Marie Jurkowski, OCCUPATIONAL THERAPI
• James Donald Kearns
• Alexis Keenan, DO

• Dentist in Fort Bliss, TX
• Providers in Fort Bliss, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.