Samuel Kainoa Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14227924-9926 Issued in UT

Practice address

7138 S Highland Dr Ste 109
Salt Lake City, UT 84121-3776

Phone

(801) 942-7770

NPI assigned

Jun 27, 2025

Sex

Male

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

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1295623163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8755 S ALTAIR DR",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840931512",
            "telephone_number": "509-599-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 S HIGHLAND DR STE 109",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213776",
            "telephone_number": "801-942-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMUEL",
        "middle_name": "KAINOA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "14227924-9926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roderick Verne Johnson, LCSW
• Roxann Johnson
• Sadie Johnson
• Sadie Lynne Johnson
• Samuel Hawken Johnson
• Sandra Benson Johnson, AANP
• Sandy Johnson, PA-C
• Sara Johnson
• Sara Emilie Husband Johnson, M.D.
• Sharon Rena Johnson, L.C.S.W.

• General Practice Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.