Individual provider Active NPI

Christopher S Johnson, D.D.S.

  • Dentist
  • Salt Lake City, UT
National Provider Identifier
1043224116
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
374991-8903 Issued in UT
Practice address
7138 Highland Dr
Suite 220
Salt Lake City, UT 84121-3757
Phone
(801) 943-7607
Fax
(801) 943-9193
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 374991-8903 UT Primary
General Practice Dentistry 1223G0001X 374991-9922 UT

Addresses

Primary practice location

7138 Highland Dr
Suite 220
Salt Lake City, UT 84121-3757

Mailing address

7138 Highland Dr
Suite 220
Salt Lake City, UT 84121-3757
Phone (801) 943-7607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20150428000987 UT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951620814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
374991-8903UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kent N Johnson PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1043224116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 HIGHLAND DR",
            "address_2": "SUITE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-943-7607",
            "fax_number": "801-943-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 HIGHLAND DR",
            "address_2": "SUITE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213757",
            "telephone_number": "801-943-7607",
            "fax_number": "801-943-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "374991-8903",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "374991-9922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.