Active NPI
Gary W Johnson, D.D.S.
- Prosthodontics
- Lansing, MI
National Provider Identifier
1225135429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 9995
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 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 DirectoryLocations
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.