Gregory R Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC2998 Issued in SC

Practice address

1204 Two Island CT
Mt Pleasant, SC 29466-7436

Phone

(843) 881-8881

Fax

(843) 881-7828

NPI assigned

Dec 12, 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

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.

• Pleasant Family Dentistry

  • General Practice Dentistry
  • Mt Pleasant, SC
  • NPI 1336321629
  NPD (past) Authorized official
• Riccobene & Associates CCC, DDS, PC

  • General Practice Dentistry
  • Mt Pleasant, SC
  • NPI 1417756396
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083775423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 COLONEL VANDERHORST CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668037",
            "telephone_number": "843-881-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 TWO ISLAND CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667436",
            "telephone_number": "843-881-8881",
            "fax_number": "843-881-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Bolger PHD LLC
• Tara M Johnson Hughes, P.A.
• Alan Haynes Johnson, PH.D.
• Carl R Johnson
• Donald R Johnson II, M.D.
• Jacqueline Johnson, FNP-C
• Jeffrey H Johnson, D.M.D
• John F Johnson, M.D.
• Paige Johnson
• Susan Johnstone

• General Practice Dentistry in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.