Individual provider Active NPI

Precious Johnson

  • General Practice Dentistry
  • Tulsa, OK
National Provider Identifier
1194686717
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8038 Issued in OK
Practice address
3701A S Harvard Ave # 177
Tulsa, OK 74135-2282
Phone
(405) 497-5861
NPI assigned
Nov 21, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X DB-2026-0168 NM
General Practice Dentistry 1223G0001X 8038 OK Primary

Addresses

Primary practice location

3701A S Harvard Ave # 177
Tulsa, OK 74135-2282

Mailing address

3701A S Harvard Ave # 177
Tulsa, OK 74135-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20260609002920 NM Order and Referring Only - DentistPractitioner - Dentist 3072084128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8038OKMDGeneral Practice Dentistry
DB-2026-0168NMMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1194686717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701A S HARVARD AVE # 177",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701A S HARVARD AVE # 177",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352282",
            "telephone_number": "405-497-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRECIOUS",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "DB-2026-0168",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "8038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.