Andrew T. Johnson, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4484 Issued in SC

Practice address

1106 Anthony Ave
Columbia, SC 29201-1730

Phone

(803) 252-4500

Fax

(803) 252-0334

NPI assigned

Jun 26, 2008

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

Enrolled in SC

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

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.

• Capitol Dental Group, LLC

  • Dental Clinic/Center
  • Columbia, SC
  • NPI 1295961274
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1194987602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 ANTHONY AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011730",
            "telephone_number": "803-252-4500",
            "fax_number": "803-252-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ANTHONY AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011730",
            "telephone_number": "803-252-4500",
            "fax_number": "803-252-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akira Johnson, COSMETOLOGIST
• Alexandra Johnson
• Alison Johnson, PA-C
• Allison Johnson
• Andrea Marie Johnson
• Angel G Johnson, MA, LPC, LPCS, LCMHC
• Annmarie Johnson, FNP
• Athena F Johnson
• Bianca Anquella Johnson, LCSW
• Brandon Fitts Johnson, DMD

• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.