Kristin Elizabeth Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017534 Issued in MI

Practice address

3688 W Liberty Rd
Ann Arbor, MI 48103-9056

Phone

(734) 665-0481

NPI assigned

Mar 13, 2007

Sex

Female

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

Practice roles

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.

• Liberty Dental, PLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1114182862
  NPD (past) Authorized official
• Liberty Dentistry PLLC

  • Dental Clinic/Center
  • Ann Arbor, MI
  • NPI 1598415317
  NPD
• Liberty Dental Associates, PLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1114941754
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023141645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 DEAKE AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081332",
            "telephone_number": "734-340-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3688 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039056",
            "telephone_number": "734-665-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Lauren Johnson, PA-C
• Kent J Johnson, MD
• Kerry Anne Johnson, RRT, RCP
• Kimberly Marie Johnson, FNP
• Kori Tamika Johnson, FNP-BC
• Lauren Nicole Johnson, DDS
• Laurie Ruth Johnson
• Linda Susan Johnson
• Lucy Marie Johnson, DDS
• Mark W Johnson, MD

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.