Ryan Andrew Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS105999 Issued in CA

Practice address

106501 E St
Corpus Christi, TX 78419

Phone

(704) 264-6913

NPI assigned

Oct 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Ryan Andrew Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1245830736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NMRTC CORPUS CHRISTI",
            "address_2": "10651 E. STREET, BLDG 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106501 E ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78419",
            "telephone_number": "704-264-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS105999",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "JOHNSON",
            "middle_name": "ANDREW",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelley Christine Johnson
• Larry D Johnson, M.D.
• Matt David Johnson, DC
• Michelle Johnson, NP-C
• Monica Shawn Johnson, LCSW
• Santorria L Johnson
• Tara Lynn Johnson, M.D.
• Tone Johnson Jr., M.D.,
• Sabrina Johnston
• Timothy Michael Johnston II

• Dentist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.