Marc D Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035042 Issued in PA

Practice address

501 Freeport Rd
Fox Chapel Family Dental
Pittsburgh, PA 15215

Phone

(412) 781-4511

Fax

(412) 781-4595

NPI assigned

Nov 14, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1053483321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FREEPORT RD",
            "address_2": "FOX CHAPEL FAMILY DENTAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15215",
            "telephone_number": "412-781-4511",
            "fax_number": "412-781-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FREEPORT RD",
            "address_2": "FOX CHAPEL FAMILY DENTAL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15215",
            "telephone_number": "412-781-4511",
            "fax_number": "412-781-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kizzie Johnson, EDD, LPC., NCC
• Kristen Johnson
• Kylie Elizabeth Johnson
• Lillian Johnson
• Luke William Angus Johnson, MD
• Mary Elizabeth Johnson, CRNP
• Matthew Johnson
• Megan Victoria Emily Johnson, PA
• Melissa Kay Johnson, PHD
• Michelle Amanda Johnson, LCSW

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.