James K Johnson DMD, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D4738 Issued in OR

Legal business name

JAMES K JOHNSON DMD, LLC

Practice address

2936 E Barnett Rd
Medford, OR 97504-8309

Phone

(541) 779-4517

Fax

(541) 779-4605

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Keith Johnson, DMDNPI 1205132693

Title

Owner

Phone

(541) 779-4517

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• James Keith Johnson, DMD

  • Dentist
  • Medford, OR
  • NPI 1205132693
  NPD (past) Authorized official
• Keith R Berg, DMD

  • General Practice Dentistry
  • Medford, OR
  • NPI 1811021934
  NPD (past)

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1275839110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048309",
            "telephone_number": "541-779-4517",
            "fax_number": "541-779-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 E BARNETT RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048309",
            "telephone_number": "541-779-4517",
            "fax_number": "541-779-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K JOHNSON DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-779-4517",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D4738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1205132693",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Amato MD PC
• Ross J Jacques, DPT
• Ahsan Jaffar, MD
• Elizabeth Ann Jaffee-Stafford, LMFT
• Minal Jaju, MD
• James Kolby Robinson, DMD
• James Loos, MD P.C.
• James W. Theen, MD PC
• Amy Margaret James, NP-BC, ARNP
• Jacob John/Jordan James

• Dentist in Medford, OR
• Providers in Medford, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.