Individual provider Active NPI

Lindsay M Johnson, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1003951732
Registry record updated Nov 1, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50279 Issued in CA
Practice address
925 Secret River Dr
Suite 2a
Sacramento, CA 95831-3465
Phone
(916) 905-0345
Fax
(888) 678-2930
NPI assigned
Feb 20, 2007
Last updated
Nov 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50279 CA Primary

Addresses

Primary practice location

925 Secret River Dr
Suite 2a
Sacramento, CA 95831-3465

Mailing address

925 Secret River Dr
Suite 2a
Sacramento, CA 95831-3465
Phone (916) 905-0345

Other names 1

  • Dr. Lindsay M Johnson Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
50279CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1003951732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 SECRET RIVER DR",
            "address_2": "SUITE 2A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313465",
            "telephone_number": "916-905-0345",
            "fax_number": "888-678-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 SECRET RIVER DR",
            "address_2": "SUITE 2A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313465",
            "telephone_number": "916-905-0345",
            "fax_number": "888-678-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDSAY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "JOHNSON",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.