Chakeema Shante Johnson, DENTAL ASSISTANT

Primary specialty

Dental AssistantTaxonomy code 126800000X

Practice address

1029 Sycamore Ave
Tinton Falls, NJ 07724-3186

Phone

(732) 963-8680

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1104672955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 SYCAMORE AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243186",
            "telephone_number": "732-963-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 SYCAMORE AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243186",
            "telephone_number": "732-963-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHAKEEMA",
        "middle_name": "SHANTE",
        "name_prefix": "Miss",
        "credential": "DENTAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana B Jacoby, M.D.
• Jean E Hager, DSW,LLC
• Jeffrey N Zatzkin DDS
• Jersey Shore Tinton Falls Medical Associates, P.C.
• JMB Health Enterprises LLC
• Maya Joyner
• Julita A Jozwiak, MT
• JP Oral Surgery Associates PC
• JS Medical Supply Inc.
• Stephen S Jurewicz, MD

• Dental Assistant in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Dental Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.