Gary Robert Johnson, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29606 Issued in CA

Legal business name

GARY ROBERT JOHNSON, DDS, INC.

Practice address

4910 Van Nuys Blvd
Suite 202
Sherman Oaks, CA 91403-1715

Phone

(818) 981-4824

Fax

(818) 981-4096

NPI assigned

Sep 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Robert Johnson, D.D.S.NPI 1023117173

Title

Owner

Phone

(818) 981-4824

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Robert Johnson, D.D.S.

  • General Practice Dentistry
  • Sherman Oaks, CA
  • NPI 1023117173
  NPD (past) Authorized official
• John Matchett, DDS

  • Dentist
  • Sherman Oaks, CA
  • NPI 1003100959
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134221880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-981-4824",
            "fax_number": "818-981-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VAN NUYS BLVD",
            "address_2": "SUITE 202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031715",
            "telephone_number": "818-981-4824",
            "fax_number": "818-981-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY ROBERT JOHNSON, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-981-4824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Garfield, LMFT
• Ashu Garg, MD
• Garrett Brown Chiropractic, PC (Active Health Clinic)
• Cassandra Joann Garrett
• Racquel Garry
• Gary Schneider D O Inc
• Beverly Garzaro
• John Gaspar
• Karin Gaspar
• Thomas Peter Gatyas, M.A.

• General Practice Dentistry in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.