Organization Active NPI

Gary W Johnson, D.D.S.

  • Prosthodontics
  • Lansing, MI
National Provider Identifier
1225135429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9995 Issued in MI
Legal business name
GARY W JOHNSON, D.D.S.
Practice address
1322 E Michigan Ave
Ste 303
Lansing, MI 48912-2199
Phone
(517) 374-7100
Fax
(517) 374-6566
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary William Johnson, D.D.S.,M.S.
Title
Dentist
Phone
(517) 374-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 9995 MI Primary

Addresses

Primary practice location

1322 E Michigan Ave
Ste 303
Lansing, MI 48912-2199

Mailing address

1322 E Michigan Ave
Ste 303
Lansing, MI 48912-2199
Phone (517) 374-7100

National Provider Directory

National Provider Directory

Locations

1322 E Michigan Ave
Ste 303
Lansing, MI 48912
Phone (517) 374-7100

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225135429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "address_2": "STE 303",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122199",
            "telephone_number": "517-374-7100",
            "fax_number": "517-374-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E MICHIGAN AVE",
            "address_2": "STE 303",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489122199",
            "telephone_number": "517-374-7100",
            "fax_number": "517-374-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W JOHNSON, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "517-374-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "9995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.