Randall Kay Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

144279 Issued in UT

Practice address

1434 E 9400 S
Suite 200
Sandy, UT 84093-2957

Phone

(801) 572-4404

Fax

(801) 572-4405

NPI assigned

Mar 10, 2009

Sex

Male

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

Practice roles

Interoperability endpoints

• Direct secure messaging: rjohnson264913@direct.med.utah.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bart T Watts DDS Randall K Johnson DDS Inc

  • General Practice Dentistry
  • Sandy, UT
  • NPI 1891833547
  NPD (past)
• Sandy Dental Management

  dba Alta Canyon Dental

  • General Practice Dentistry
  • Sandy, UT
  • NPI 1720660061
  NPD (past)

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1225279995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 E 9400 S",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932957",
            "telephone_number": "801-572-4404",
            "fax_number": "801-572-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 E 9400 S",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840932957",
            "telephone_number": "801-572-4404",
            "fax_number": "801-572-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RANDALL",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "144279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Johnson
• Gary D Johnson, R.PH.
• Michael Wynn Johnson, MD
• Michal Lynne Johnson, PHD
• Patricia Collette Johnson, LCSW
• Steven Legrand Johnson, LCSW
• Zackary Douglas Johnson, RBT
• Meghan Johnston
• Jojo's Mobility Service LLC
• Jonah O Finch Incorporated

• General Practice Dentistry in Sandy, UT
• Providers in Sandy, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.