Candice R. Johnson DDS Brian K. Shimizu DDS

Primary specialty

DentistTaxonomy code 122300000X

License

49046 Issued in CA

Legal business name

CANDICE R. JOHNSON DDS BRIAN K. SHIMIZU DDS

Practice address

5512 E Britton Dr
Suite 208
Long Beach, CA 90815-3146

Phone

(562) 594-7100

Fax

(562) 594-8800

NPI assigned

Jul 15, 2013

Last updated

Jul 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

CANDICE R. JOHNSON DDS, INCAs reported in NPPES

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

Authorized official

Name

Dr. Candice R. Johnson, DDSNPI 1295941003

Title

General Partner

Phone

(562) 594-7100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candice Rae Johnson, D.D.S.

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1295941003
  NPD (past) Authorized official

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1043651383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR",
            "address_2": "SUITE 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153146",
            "telephone_number": "562-594-7100",
            "fax_number": "562-594-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR",
            "address_2": "SUITE 208",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153146",
            "telephone_number": "562-594-7100",
            "fax_number": "562-594-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE R. JOHNSON DDS BRIAN K. SHIMIZU DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANDICE R. JOHNSON DDS, INC",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "562-594-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Canales
• Peter K Canavan, LMFT
• Joseph Canchola, RN
• Gabriel Gerard Cancino
• Jennifer Ann Candelaria, LCSW
• Juliet Candray Ramirez
• John Hunter Canedy
• Esmeralda Canela
• Mayra Canela
• Mark Canet

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.