Michelle Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08964 Issued in IA

Practice address

4135 Wilson Ave SW
Cedar Rapids, IA 52404-6342

Phone

(319) 396-0700

NPI assigned

Sep 3, 2012

Last updated

Sep 3, 2012By the provider in NPPES

Sex

Female

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jim Cox DDS, PC

  • Dental Clinic/Center
  • Cedar Rapids, IA
  • NPI 1699151548
  NPD (past)
• Westdale Dental Office

  • General Practice Dentistry
  • Cedar Rapids, IA
  • NPI 1235360975
  NPD (past)

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1245589530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046342",
            "telephone_number": "319-396-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4135 WILSON AVE SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524046342",
            "telephone_number": "319-396-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lynn Johnson, ARNP
• Kristin Ann Johnson, PT
• Lisa S Johnson, ARNP
• Michael Charles Matthias Johnson, LMHC-T
• Michael J Johnson
• Nicole Pfab Johnson, RD, LD
• Remi Johnson, LMSW
• Sarah Jane Johnson, DPT
• Stephanie Johnson, MT-BC
• Stephanie D Johnson

• General Practice Dentistry in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.