Kristie Lynn Johnson, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19030 Issued in FL

Practice address

2700 E Bay Dr
Largo, FL 33771-2468

Phone

(727) 536-3400

NPI assigned

Jun 2, 2010

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid County Dental Associates

  • General Practice Dentistry
  • Largo, FL
  • NPI 1124242284
  NPD (past)
• TDN Dentistry, PLLC

  dba Mid County Dental Associates

  • General Practice Dentistry
  • Largo, FL
  • NPI 1861356735
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1033439971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712468",
            "telephone_number": "727-536-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712468",
            "telephone_number": "727-536-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Nicole Johnson, ARNP
• Douglas Gordon Johnson, O.D.
• Jakob Ryne Johnson, DC
• James R Johnson, D.O.
• Kayla Johnson
• Olivia Johnson
• Pamela Byrne Johnson, R.PH., C.PH,
• Richard Fredercik Johnson, M.D.
• Jojo Rehab Therapy. LLC.
• Jon R Thogmartin MD PA

• General Practice Dentistry in Largo, FL
• Providers in Largo, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.