Truman C Johnson, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7959 Issued in IA

Practice address

3900 River Ridge Drive NE
Suite a
Cedar Rapids, IA 52402-7599

Phone

(319) 363-9880

Fax

(319) 363-8386

NPI assigned

Jan 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Truman Christopher Johnson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 9, 2014 through Jan 9, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Contemporary Periodontics PC

  • Periodontics
  • Cedar Rapids, IA
  • NPI 1528135944
  NPD (past) Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1164609384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 RIVER RIDGE DRIVE NE",
            "address_2": "SUITE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027599",
            "telephone_number": "319-363-9880",
            "fax_number": "319-363-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 RIVER RIDGE DRIVE NE",
            "address_2": "SUITE A",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027599",
            "telephone_number": "319-363-9880",
            "fax_number": "319-363-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRUMAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IA",
            "license": "7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUMAN",
            "last_name": "JOHNSON",
            "middle_name": "CHRISTOPHER",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole Pfab Johnson, RD, LD
• Remi Johnson, LMSW
• Sarah Jane Johnson, DPT
• Stephanie Johnson, MT-BC
• Stephanie D Johnson
• Alicia Jones, LCSW
• Angela Jones
• Brian N Jones, PT
• Diana Lee Van Schilfgaarde Jones, DDS
• Douglas Jones, MD

• Periodontics in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Periodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.