Linda G Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026800-L Issued in PA

Practice address

1512 Sansom St
Philadelphia, PA 19102-2804

Phone

(215) 564-0717

Fax

(215) 564-5450

NPI assigned

Apr 24, 2007

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

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194944975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S KILDONAN GLN",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198071700",
            "telephone_number": "302-654-8234",
            "fax_number": "302-778-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 SANSOM ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022804",
            "telephone_number": "215-564-0717",
            "fax_number": "215-564-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDA",
        "middle_name": "G",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026800-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Teresa Johnson, DMD
• Lauren Johnson
• Laverne Johnson
• Leonia Johnson, LAPC
• Leyana Johnson
• Lisa J Johnson, PSY.D.
• Lynn Johnson
• Maegen Kathryn Johnson, PT, DPT
• Marcus Johnson, M.D.
• Mariah Samuelle Johnson, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, 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 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.