Priscilla M Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417167 Issued in VA

Practice address

1244 Perimeter Pkwy Ste 442
Virginia Beach, VA 23454-5699

Phone

(757) 716-3539

Fax

(757) 716-3546

NPI assigned

Jun 29, 2018

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Gray's Periodontal Center

  • Dental Clinic/Center
  • Virginia Beach, VA
  • NPI 1952054793
  NPD
• VA Beach Dental, PLLC

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1962211128
  NPD (past)

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1164917365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 PERIMETER PKWY STE 442",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545699",
            "telephone_number": "757-716-3539",
            "fax_number": "757-716-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 PERIMETER PKWY STE 442",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545699",
            "telephone_number": "757-716-3539",
            "fax_number": "757-716-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRISCILLA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Johnson
• Megan K Johnson, LCSW
• Melthres Johnson, RN
• Peter Mathew Johnson, MD
• Phylicia Johnson
• Rachel Johnson, PT, DPT
• Rene' Johnson, CMT, LMT, MMP
• Robert Albert Johnson, M.D.
• Rowan Johnson
• Sabrina Renee Johnson, LPC

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.