Robert Byron Johnson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

0401007027 Issued in VA

Practice address

10640 Main St
#300
Fairfax, VA 22030-3821

Phone

(703) 246-9355

NPI assigned

Apr 17, 2007

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023233657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47424 MIDDLE BLUFF PL",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201653101",
            "telephone_number": "703-421-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 MAIN ST",
            "address_2": "#300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303821",
            "telephone_number": "703-246-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "BYRON",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet Johnson, MSW
• Kendall Collin Johnson
• Kenneth Maurice Johnson
• Kevin Maurice Johnson, M.D.
• Kirsten Johnson
• Taryn Johnson, DPT
• Ukindra Johnson
• Jones Family Dentistry PLLC
• Alyssa Renee Jones, LPC
• Ashley Jones, DPT

• Dentist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Dentist in Virginia

• 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.