Organization Active NPI

Johnson and Knox Dentcare Associates

  • General Practice Dentistry
  • Fairfax, VA
National Provider Identifier
1154987360
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, DDSNPI 1467879163
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.