Active NPI
Reed E Johnson, DDS
- Dentist
- Plainfield, IN
National Provider Identifier
1306028899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12009024
- Practice address
- 410 West Main Street
Plainfield, IN 46168 - Phone
- (317) 839-3502
- Fax
- (317) 838-9763
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12009024 | IN | Primary |
Addresses
Primary practice location
410 West Main Street
Plainfield, IN 46168
Mailing address
410 West Main Street
Plainfield, IN 46168
Phone (317) 839-3502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009024 | IN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reed E Johnson DDS | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Plainfield, IN
- NPI 1801082656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1306028899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 WEST MAIN STREET",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "46168",
"telephone_number": "317-839-3502",
"fax_number": "317-838-9763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 WEST MAIN STREET",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "46168",
"telephone_number": "317-839-3502",
"fax_number": "317-838-9763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "REED",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12009024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.