Brianna Theresa Johnson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.8768 GD Issued in SC

Practice address

1 Jasons Way
Annville, PA 17003

Phone

(717) 867-5088

NPI assigned

Jul 19, 2016

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

Other names 1

• Brianna Theresa Lockett Former name

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brianna.johnson.p1@direct.oho.nextgenshare.com

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.

• Ohio North East Health Systems, Inc.

  • Community Health Clinic/Center
  • Youngstown, OH
  • NPI 1700917267

  General Practice

  Medicare reassignment NPD
• Annville Dental Group PLLC

  • Dentist
  • Annville, PA
  • NPI 1396474839
  NPD
• Ohio North East Health Systems Inc

  dba Northside Dental Center

  • Federally Qualified Health Center (FQHC)
  • Youngstown, OH
  • NPI 1699236059

  General Practice

  NPD
• Ohio North East Health Systems, Inc.

  • Multi-Specialty Clinic/Center
  • Youngstown, OH
  • NPI 1558801225
  NPD
• Silverman Dental Associates PC

  • Dentist
  • Annville, PA
  • NPI 1124119490
  NPD (past)

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1174976849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JASONS WAY",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "17003",
            "telephone_number": "717-867-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JASONS WAY",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "17003",
            "telephone_number": "717-867-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIANNA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8768 GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "LOCKETT",
            "middle_name": "THERESA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emma Leigh S Hostetter, MD
• Melissa Hoyle, DPT
• Nancy Huerter, M.D.
• Sarah Janjua, DENTIST
• Kathleen Jaworski, PA-C
• Michelle Dimaio Julian, CRNP
• Katie Brianne Kennedy, FNP
• Lorri Kercher, CRNP
• Kay Louise Kerkeslager, RN
• Kerrie Smedley, PHD

• General Practice Dentistry in Annville, PA
• Providers in Annville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.