Active NPI
Michael B Johnson, DMD
- Dentist
- Pittsburg, PA
National Provider Identifier
1124112065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS028528L
- Practice address
- 101 Emerson Ave
Johnson Family Dental Assoc
Pittsburg, PA 15215 - Phone
- (412) 781-4511
- Fax
- (412) 781-4595
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS028528L | PA | Primary |
Addresses
Primary practice location
101 Emerson Ave
Johnson Family Dental Assoc
Pittsburg, PA 15215
Mailing address
101 Emerson Ave
Pittsburg, PA 15215
Phone (412) 781-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160322002810 | PA | Order and Referring Only - Oral Surgery | 6507163334 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS028528L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124112065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EMERSON AVE",
"city": "PITTSBURG",
"state": "PA",
"postal_code": "15215",
"telephone_number": "412-781-4511",
"fax_number": "412-781-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 EMERSON AVE",
"address_2": "JOHNSON FAMILY DENTAL ASSOC",
"city": "PITTSBURG",
"state": "PA",
"postal_code": "15215",
"telephone_number": "412-781-4511",
"fax_number": "412-781-4595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS028528L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburg, PA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.