Paul a. Johnson DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

57809 Issued in CA

Legal business name

PAUL A. JOHNSON DDS INC

Practice address

2101 Stone Blvd
Suite 130
West Sacramento, CA 95691-4044

Phone

(916) 227-8055

Fax

(916) 266-7513

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Paul Aaron Johnson, D.D.S.

Title

President

Phone

(916) 277-8055

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dentistry of West Sacramento Doing business as

Locations

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1235527557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD",
            "address_2": "SUITE 130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914044",
            "telephone_number": "916-227-8055",
            "fax_number": "916-266-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD",
            "address_2": "SUITE 130",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914044",
            "telephone_number": "916-227-8055",
            "fax_number": "916-266-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A. JOHNSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-277-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry of West Sacramento",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa C Parker
• Rosemary Eileen Parker, ACSW
• Tracy Kristin Parsons, MS PT
• Selena Tina Patolo
• Patricia Temple
• Guadalupe Domenica Pelayo Benyamino
• Erica Pelayo
• Liana Penafiel Wonsang, DDS
• Jonathan L Penaloza
• Viktor Perekopskiy, RPH

• Pediatric Dentistry in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.