Paul Oliver Johnson, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

19187 Issued in MA

Practice address

486 Washington St
Wellesley, MA 02482-5971

Phone

(781) 237-2151

Fax

(781) 237-2133

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184656845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825971",
            "telephone_number": "781-237-2151",
            "fax_number": "781-237-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024825971",
            "telephone_number": "781-237-2151",
            "fax_number": "781-237-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAUL",
        "middle_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jimenez
• John Sexton, DMD, MSD,PC
• Sheena John, M.D.
• Thomas Douglas John, DPM
• Erica Ellen Johnson, M.D.
• Ruth E Johnson, MSN, CNM, CS
• Janellia Jolley, MSW
• Jonathan D Kaplan, DPM, LLC
• Angela R Jones, PSY.D.
• Sarah Jones

• Pediatric Dentistry in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.