Robin D Johnson, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

8916 Issued in SC

Practice address

104 S Ashe St
Kershaw, SC 29067-1402

Phone

(803) 475-2644

NPI assigned

Apr 12, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235353186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1172",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281111172",
            "telephone_number": "704-242-3875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S ASHE ST",
            "city": "KERSHAW",
            "state": "SC",
            "postal_code": "290671402",
            "telephone_number": "803-475-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8916",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Holcomb
• Emily Kathleen Horton
• John R Howell Jr., D.M.D.
• Gabriel Buchanan Ingraham III, DMD
• John F Zeedick MD Inc
• Kershaw Counseling, LLC
• Kershaw Family Medicine Associates LLC
• Kershaw Family Pharmacy
• James Fletcher Koon, MD
• Lancaster Clinic Corp (Palmetto Family Medicine of Kershaw)

• Dentist in Kershaw, SC
• Providers in Kershaw, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.