Cannon Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-00237 Issued in KY

Practice address

4323 Champion Hill St
Columbia, SC 29207-6022

Phone

(803) 751-6213

NPI assigned

Jul 1, 2026

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

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1003733007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 BEVERLY HILLS DR",
            "city": "PEGRAM",
            "state": "TN",
            "postal_code": "371432206",
            "telephone_number": "615-779-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 CHAMPION HILL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076022",
            "telephone_number": "803-751-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CANNON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "D-00237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Fitts Johnson, DMD
• Brenda Johnson, SOCIAL WORKER
• Brenicke Johnson, FNP
• Britta Ann Johnson, NURSE PRACTITIONER
• Calvin Johnson
• Carl Allen Johnson, MD
• Carol Lasuane Johnson
• Carolyn Johnson
• Celeste Johnson, PSYD
• Chanelle M Johnson, RN

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.