Grant D. Johnson, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

18831 Issued in TX

Practice address

2121 Central Dr
Suite 2
Bedford, TX 76021-5884

Phone

(817) 283-3777

Fax

(817) 283-6929

NPI assigned

Dec 21, 2011

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

Credentials

Master of Science

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.

• Johnson & Collins Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bedford, TX
  • NPI 1497904080
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1083983902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CENTRAL DR",
            "address_2": "SUITE 2",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215884",
            "telephone_number": "817-283-3777",
            "fax_number": "817-283-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CENTRAL DR",
            "address_2": "SUITE 2",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215884",
            "telephone_number": "817-283-3777",
            "fax_number": "817-283-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GRANT",
        "middle_name": "D.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "18831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Kulangara John
• Johnna Jones DO Facos PA
• Johnson & Collins Orthodontics
• Charles A Johnson, DC
• Doyle Johnson
• Latasha Johnson, MASSAGE THERAPIST
• Mariana Murguia Johnson, M.D.
• Shannon Johnson, M.D.
• Mary Claire Johnston, SLPA
• Joiyen Medical, PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Bedford, TX
• Providers in Bedford, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.