Organization Active NPI

Lawrence a Johnson DDS SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Oshkosh, WI
National Provider Identifier
1033283585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1990G Issued in WI
Legal business name
LAWRENCE A JOHNSON DDS SC
Practice address
1850 West Pointe Drive
Oshkosh, WI 54902-4164
Phone
(920) 233-2222
Fax
(920) 233-2263
NPI assigned
Nov 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
Lawrence A Johnson, DDSNPI 1477682086
Title
President of Lawrence a Johnson DDS
Phone
(920) 233-2222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 1990G WI Primary

Addresses

Primary practice location

1850 West Pointe Drive
Oshkosh, WI 54902-4164

Mailing address

1850 West Pointe Drive
Oshkosh, WI 54902-4164
Phone (920) 233-2222

National Provider Directory

National Provider Directory

Locations

1850 West Pointe Dr
Oshkosh, WI 54902
Phone (920) 233-2222

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033283585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WEST POINTE DRIVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024164",
            "telephone_number": "920-233-2222",
            "fax_number": "920-233-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WEST POINTE DRIVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024164",
            "telephone_number": "920-233-2222",
            "fax_number": "920-233-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A JOHNSON DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF LAWRENCE A JOHNSON DDS",
        "authorized_official_telephone_number": "920-233-2222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "1990G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

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.