Richard Michael Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21904 Issued in CA

Practice address

9750 Miramar Rd
Suite 260
San Diego, CA 92126-4560

Phone

(858) 566-5050

NPI assigned

May 16, 2013

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

Practice roles

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.

• Haider Faris DDS Inc.

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1174346241
  NPD (past)
• Mira Mesa Dental & Orthodontic Office

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1124104336
  NPD (past)

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1053757120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD",
            "address_2": "SUITE 260",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264560",
            "telephone_number": "858-566-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 MIRAMAR RD",
            "address_2": "SUITE 260",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264560",
            "telephone_number": "858-566-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "21904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca J Johnson, LCSW 29018
• Rebecca Renee Johnson, LAC
• Rebekah Johnson, LCSW
• Renee Lee Johnson
• Rhonda R Johnson
• Riley Johnson
• Robert Terry Johnson
• Rochelle Johnson, LVN
• Ronald D. Johnson, DDS
• Rosalyn Michele Johnson, CRC

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.