Organization Active NPI

Gregory L. Johnson,D.D.S.,Inc.

  • General Practice Dentistry
  • Huntington Beach, CA
National Provider Identifier
1225322837
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44603 Issued in CA
Legal business name
GREGORY L. JOHNSON,D.D.S.,INC.
Practice address
16901 Algonquin St
Huntington Beach, CA 92649-3812
Phone
(714) 846-0638
Fax
(714) 840-5979
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Gregory L Johnson, D.D.S.NPI 1285753665
Title
Owner
Phone
(714) 846-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 44603 CA Primary

Addresses

Primary practice location

16901 Algonquin St
Huntington Beach, CA 92649-3812

Mailing address

16901 Algonquin St
Huntington Beach, CA 92649-3812
Phone (714) 846-0638

National Provider Directory

National Provider Directory

Locations

16901 Algonquin St
Huntington Beach, CA 92649
Phone (714) 846-0638

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1225322837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16901 ALGONQUIN ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493812",
            "telephone_number": "714-846-0638",
            "fax_number": "714-840-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 ALGONQUIN ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493812",
            "telephone_number": "714-846-0638",
            "fax_number": "714-840-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. JOHNSON,D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-846-0638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.