Individual provider Active NPI

James Vernon Johnson, DDS,MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1093920589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7279 Issued in TX
Practice address
6516 John Freeman St
Dept Omfs 2.059
Houston, TX 77030-3402
Phone
(713) 500-4125
Fax
(713) 500-4333
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7279 TX Primary

Addresses

Primary practice location

6516 John Freeman St
Dept Omfs 2.059
Houston, TX 77030-3402

Mailing address

Uthsc Houston DBB 6516 MD Anderson Blvd
Dept Omfs 2.059
Houston, TX 77030-3402
Phone (713) 500-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7279TXMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093920589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UTHSC HOUSTON DBB 6516 MD ANDERSON BLVD",
            "address_2": "DEPT OMFS 2.059",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303402",
            "telephone_number": "713-500-4125",
            "fax_number": "713-500-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 JOHN FREEMAN ST",
            "address_2": "DEPT OMFS 2.059",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303402",
            "telephone_number": "713-500-4125",
            "fax_number": "713-500-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "VERNON",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • 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.