Peggy Johnson

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

452 Issued in CA

Practice address

437 Old Via Rancho Dr
Escondido, CA 92029-7959

Phone

(760) 638-2477

Fax

(760) 745-0828

NPI assigned

Mar 13, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1114343191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 OLD VIA RANCHO DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920297959",
            "telephone_number": "760-638-2477",
            "fax_number": "760-745-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 OLD VIA RANCHO DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920297959",
            "telephone_number": "760-638-2477",
            "fax_number": "760-745-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PEGGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "452",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "10008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elaine Johnson, RN
• Judy Johnson, LCSW
• Lerome Johnson
• Marlon Troy Johnson
• Paul Johnson, INTERN
• Tamela Johnson
• Tiffany Marie Johnson
• Ryan Michael Johnston, D.O.
• Ashley Nicole Jolivette
• Brian Michael Jolliffe, CAADE

• Dental Hygienist in Escondido, CA
• Providers in Escondido, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.