NPIMap

Organization Active NPI

Johnson & Chang Dentistry, PLLC

  • Dentist
  • Oro Valley, AZ
National Provider Identifier
1184319949
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JOHNSON & CHANG DENTISTRY, PLLC
Doing business as
Oracle Family Dental
Practice address
10195 N Oracle Rd Ste 111
Oro Valley, AZ 85704-8751
Phone
(520) 219-7004
Fax
(520) 219-9811
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Dr. Maxwell Johnson, DMDNPI 1912317900
Title
Owner
Phone
(520) 975-4965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10195 N Oracle Rd Ste 111
Oro Valley, AZ 85704-8751

Mailing address

10195 N Oracle Rd Ste 111
Oro Valley, AZ 85704-8751
Phone (520) 219-7004

Other names 1

  • Oracle Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1184319949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10195 N ORACLE RD STE 111",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857048751",
            "telephone_number": "520-219-7004",
            "fax_number": "520-219-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 N ORACLE RD STE 111",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857048751",
            "telephone_number": "520-219-7004",
            "fax_number": "520-219-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & CHANG DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-975-4965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oracle Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.