Cole J. Johnson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3867 Issued in AR

Legal business name

COLE J. JOHNSON DDS PA

Practice address

2420 S 51St CT
Fort Smith, AR 72903-3669

Phone

(479) 452-2995

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cole Jerome Johnson, DDSNPI 1750638284

Title

Owner/President

Phone

(479) 452-2995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cole Jerome Johnson, DDS

  • General Practice Dentistry
  • Fort Smith, AR
  • NPI 1750638284
  NPD (past) Authorized official

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1144618307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S 51ST CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033669",
            "telephone_number": "479-452-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S 51ST CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033669",
            "telephone_number": "479-452-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLE J. JOHNSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "479-452-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199375608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Dawn Cohen, FNP
• Holley Michelle Coker, PA-C
• Lisa Deniece Coker, APRN
• Crystal Colburn, BT
• Dusty Marie Colburn, APRN
• Amanda L Cole, AGACNP-BC
• Kelsey Ann Cole, DNP
• Michael S Cole, MD
• Coleman Butler Ft Smith LLC
• Coleman Butler Ft Smith LLC

• General Practice Dentistry in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.