NPIMap

Organization Active NPI

Steven G. Johnson Dental Corporation

  • General Practice Dentistry
  • Newbury Park, CA
National Provider Identifier
1083114045
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEVEN G. JOHNSON DENTAL CORPORATION
Practice address
1620 Newbury Rd Ste 5
Newbury Park, CA 91320-3401
Phone
(805) 600-4540
NPI assigned
Feb 16, 2018
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Amy Buttery
Title
Operations Support Manager
Phone
(805) 456-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1620 Newbury Rd Ste 5
Newbury Park, CA 91320-3401

Mailing address

1620 Newbury Rd Ste 5
Newbury Park, CA 91320-3401
Phone (805) 600-4540

National Provider Directory

National Provider Directory
Tax ID family
Johnson Family Dental11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1083114045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NEWBURY RD STE 5",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203401",
            "telephone_number": "805-600-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NEWBURY RD STE 5",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913203401",
            "telephone_number": "805-600-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. JOHNSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT MANAGER",
        "authorized_official_telephone_number": "805-456-1235"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.