Active NPI
Johnson and Knox Dentcare Associates
- General Practice Dentistry
- Fairfax, VA
National Provider Identifier
1154987360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JOHNSON AND KNOX DENTCARE ASSOCIATES
- Practice address
- 9547A Fairfax Blvd
Fairfax, VA 22031-4740 - Phone
- (571) 354-0849
- NPI assigned
- May 13, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Rasheeda Johnson, DDS
- Title
- Owner
- Phone
- (516) 304-4717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9547A Fairfax Blvd
Fairfax, VA 22031-4740
Mailing address
5628 Woodyard Rd
Upper Marlboro, MD 20772-3880
Phone (708) 645-6311
Other names 1
NPPES NPI Registry- Dentcare Now
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2019.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557705600000",
"number": "1154987360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 WOODYARD RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723880",
"telephone_number": "708-645-6311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9547A FAIRFAX BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314740",
"telephone_number": "571-354-0849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNSON AND KNOX DENTCARE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "RASHEEDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-304-4717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dentcare Now",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.