Andrew D Johnson DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANDREW D JOHNSON DDS

Practice address

2203 N Sweetbriar St
Wichita, KS 67204-5518

Phone

(316) 838-1300

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Andrew Johnson, DDSNPI 1659863397

Title

Owner/Dentist

Phone

(316) 838-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Andrew Johnson, DDS

  • General Practice Dentistry
  • Wichita, KS
  • NPI 1659863397
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1245839331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 N SWEETBRIAR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045518",
            "telephone_number": "316-838-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 N SWEETBRIAR ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672045518",
            "telephone_number": "316-838-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D JOHNSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "316-838-1300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS DENTAL BOARD",
            "identifier": "61357",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Devon Frances Andra
• Andre Kandy, DDS, PA
• Andre Thibault, DDS, PA
• Barbara Ann Andres, MSW
• Alexandria Andrews, LMSW
• Kaya Andrews
• Miresha Andrews, CNA/HHA
• Sydney Elizabeth Andrews, PT, DPT
• Tyler Thomas Andrews, MD

• Dental Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Dental Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.