Organization Active NPI

John L Johnson DDS and Todd L Johnson DDS Inc

  • General Practice Dentistry
  • Fair Oaks, CA
National Provider Identifier
1003920364
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46616 Issued in CA
Legal business name
JOHN L JOHNSON DDS AND TODD L JOHNSON DDS INC
Practice address
10425 Fair Oaks Blvd
Suite #202
Fair Oaks, CA 95628
Phone
(916) 967-1199
Fax
(916) 967-1239
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd Lewis Johnson, DDSNPI 1750780722
Title
VP
Phone
(916) 967-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 46616 CA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 20209 CA

Addresses

Primary practice location

10425 Fair Oaks Blvd
Suite #202
Fair Oaks, CA 95628

Mailing address

10425 Fair Oaks Blvd
Suite #202
Fair Oaks, CA 95628
Phone (916) 967-1199

National Provider Directory

National Provider Directory

Locations

10425 Fair Oaks Blvd
Ste 202
Fair Oaks, CA 95628
Phone (916) 967-1199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003920364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 FAIR OAKS BLVD",
            "address_2": "SUITE #202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-967-1199",
            "fax_number": "916-967-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 FAIR OAKS BLVD",
            "address_2": "SUITE #202",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-967-1199",
            "fax_number": "916-967-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L JOHNSON DDS AND TODD L JOHNSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "916-967-1199",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46616",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.