Active NPI
Paul W. Johnson,PH.D., D.M.D., Inc.
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1154492239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43798
- Legal business name
- PAUL W. JOHNSON,PH.D., D.M.D., INC.
- Practice address
- 8007 Laguna Blvd
Suite 1
Elk Grove, CA 95758-7920 - Phone
- (916) 691-6442
- Fax
- (916) 691-6452
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul William Johnson, PH.D., D.M.D.
- Title
- President
- Phone
- (916) 691-6442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43798 | CA | Primary |
Addresses
Primary practice location
8007 Laguna Blvd
Suite 1
Elk Grove, CA 95758-7920
Mailing address
8007 Laguna Blvd
Suite 1
Elk Grove, CA 95758-7920
Phone (916) 691-6442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45854197 | Other | CA | STATE EMPLOYER ID |
| 680448471 | Other | CA | INDIVIDUAL EMPLOYER ID |
National Provider Directory
National Provider DirectoryLocations
8007 Laguna Blvd
Ste 1
Elk Grove, CA 95758
Phone (916) 691-6442
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Elk Grove, CA
- NPI 1588821052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1154492239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 LAGUNA BLVD",
"address_2": "SUITE 1",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587920",
"telephone_number": "916-691-6442",
"fax_number": "916-691-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8007 LAGUNA BLVD",
"address_2": "SUITE 1",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587920",
"telephone_number": "916-691-6442",
"fax_number": "916-691-6452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL W. JOHNSON,PH.D., D.M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-691-6442",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE EMPLOYER ID",
"identifier": "45854197",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL EMPLOYER ID",
"identifier": "680448471",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.