Active NPI
Taoheed Olajide Johnson, DMD
- Endodontics
- Chino Hills, CA
National Provider Identifier
1114211968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 63448
- Practice address
- 16291 Wind Forest Way
Chino Hills, CA 91709-4650 - Phone
- (909) 618-8426
- NPI assigned
- Jun 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 63448 | CA | Primary |
Addresses
Primary practice location
16291 Wind Forest Way
Chino Hills, CA 91709-4650
Mailing address
16291 Wind Forest Way
Chino Hills, CA 91709-4650
Phone (909) 618-8426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63448 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1114211968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16291 WIND FOREST WAY",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917094650",
"telephone_number": "909-618-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16291 WIND FOREST WAY",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917094650",
"telephone_number": "909-618-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAOHEED",
"middle_name": "OLAJIDE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-08",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "63448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.