Active NPI
Parker Hindley Johnson, DDS
- Dentist
- Tooele, UT
National Provider Identifier
1124757976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14018806-9926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DT-3004-0 | HI | MD | Dentist |
| 14018806-9926 | UT | MD | Dentist |
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.