Dana Michele Johnson, DMD
Individual provider Active NPI General Practice Dentistry · Bean Station, TN
NPI 1033399100 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1033399100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS9208 (TN)
- Practice address
- 1277 Highway 11W Ste E
Bean Station, TN 37708-5810 - Phone
- (865) 993-2225
- Fax
- (865) 993-2225
- NPI assigned
- Nov 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS9208 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS9208 | TN | Yes |
Addresses
Primary practice location
1277 Highway 11W Ste E
Bean Station, TN 37708-5810
Mailing address
1277 Highway 11W Ste E
Bean Station, TN 37708-5810
Phone (865) 993-2225
NPI Registry JSON
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1033399100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 HIGHWAY 11W STE E",
"city": "BEAN STATION",
"state": "TN",
"postal_code": "377085810",
"telephone_number": "865-993-2225",
"fax_number": "865-993-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 HIGHWAY 11W STE E",
"city": "BEAN STATION",
"state": "TN",
"postal_code": "377085810",
"telephone_number": "865-993-2225",
"fax_number": "865-993-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANA",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-06",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS9208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bean Station, TN
- Amy Hall
- Hometown Medical Clinic
- Kayla Marie Horne
- Angela Danielle Hunt
- Miranda Jackson
- Kayla Shirlene Kirkland
- Lakeway Dental Center PLLC
- Martin Enterprises,Inc.
- Nathan Ray Martin
- Stephen Paul Mayo
All providers in Bean Station, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.