Donald J Johnson DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1677 Issued in ID

Legal business name

DONALD J JOHNSON DDS INC

Practice address

114 W Neider Ave
Coeur D'Alene, ID 83815-9300

Phone

(208) 667-4551

Fax

(866) 683-6479

NPI assigned

Jun 6, 2011

Last updated

Jun 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald J Johnson, DDSNPI 1629153150

Title

Owner

Phone

(208) 667-4551

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald J Johnson, DDS

  • General Practice Dentistry
  • Coeur d'Alene, ID
  • NPI 1629153150
  Authorized official Same address or phone

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1205120441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W NEIDER AVE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838159300",
            "telephone_number": "208-667-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W NEIDER AVE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838159300",
            "telephone_number": "208-667-4551",
            "fax_number": "866-683-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J JOHNSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-667-4551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dohring
• Gayle Dohrman
• Evan Jacobb Dole, PA
• Don J Schmitt MD
• Lucretia M Donahue Reed, LCPC
• Monica F Donegan, PA
• Gianna B Donnelly, PHARMD
• Baily C. Donovan, DPT
• Maura Colleen Donovan, BSW
• Nicole Briana Dooda

• General Practice Dentistry in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.