Individual provider Active NPI

Parker Hindley Johnson, DDS

  • Dentist
  • Tooele, UT
National Provider Identifier
1124757976
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14018806-9926 Issued in UT
Practice address
668 N Garden St
Tooele, UT 84074-1724
Phone
(435) 882-1381
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DT-3004-0 HI
Dentist 122300000X 14018806-9926 UT Primary

Addresses

Primary practice location

668 N Garden St
Tooele, UT 84074-1724

Mailing address

933 N 2220 W
Clinton, UT 84015-9576
Phone (435) 740-0154

Other practice location 1

4473 Pahee St Ste K
Lihue, HI 96766-2037
Phone (808) 482-3100

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

LicenseStateTypeSpecialty
DT-3004-0HIMDDentist
14018806-9926UTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1124757976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 N 2220 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840159576",
            "telephone_number": "435-740-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 N GARDEN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741724",
            "telephone_number": "435-882-1381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4473 Pahee St Ste K",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967662037",
            "country_code": "US",
            "telephone_number": "808-482-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PARKER",
        "middle_name": "HINDLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-3004-0",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14018806-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.