Edwina Virginia Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4606 Issued in OK

Practice address

4200 Hemingway Dr
Oklahoma City, OK 73118-2235

Phone

(405) 557-1245

Fax

(405) 840-5410

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edwina V. Johnson, D.D.S., P.C.

  dba Dental Works

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1003003831
  Authorized official Same address or phone

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316049141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12505",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572505",
            "telephone_number": "405-823-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HEMINGWAY DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182235",
            "telephone_number": "405-557-1245",
            "fax_number": "405-840-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EDWINA",
        "middle_name": "VIRGINIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731231901001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna A Johnson
• Dorothea Anne Johnson
• Eboni Johnson
• Edgar Lamar Johnson
• Edna Carol Johnson, DPH
• Emily Marie Johnson
• Emily Nicole Johnson
• Eric Benjamin Johnson, MD
• Erica Johnson
• Erin Darcy Johnson, PTA

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.