Karen Evangeline Johnson, DDS, MHS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

3116/PERIO 470 Issued in SC

Practice address

2757 Laurel St Ste 1
Columbia, SC 29204-2037

Phone

(803) 606-9011

Fax

(803) 630-1529

NPI assigned

Jun 2, 2005

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Better Sleep by Design LLC

  • Customized Equipment (DME)
  • Columbia, SC
  • NPI 1336810936

  Periodontics

  NPD Authorized official

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1114921491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25731",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292245731",
            "telephone_number": "803-606-9011",
            "fax_number": "803-630-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 LAUREL ST STE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042037",
            "telephone_number": "803-606-9011",
            "fax_number": "803-630-1529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Greenlawn Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092630",
            "country_code": "US",
            "telephone_number": "803-606-9011",
            "fax_number": "803-630-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAREN",
        "middle_name": "EVANGELINE",
        "name_prefix": "Dr.",
        "credential": "DDS, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "3116/PERIO 470",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "11759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z31163",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Lynn Johnson, ANP
• Joel Earl Johnson, D.M.D.
• Jonathon Pierce Johnson, PSYD
• Kadryian Johnson, RBT
• Kanisha Nathasha Johnson, MA
• Karis Johnson
• Katherine Sellars Johnson, CRNA
• Kimberly Johnson, RN,NP
• Kyla Alena Johnson
• Kyle Harris Johnson, P.A.

• Periodontics in Columbia, SC
• Providers in Columbia, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.