Johnson Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3974 Issued in NH

Legal business name

JOHNSON ORTHODONTICS, PLLC

Practice address

113 Mammoth Rd
Suite 1
Manchester, NH 03109

Phone

(603) 623-8003

Fax

(603) 623-1191

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Paul David Johnson III, DMD

Title

Owner

Phone

(603) 623-8003

Specialties & licenses 1

Addresses

Other names 1

• Mehan and Johnson Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1316379266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAMMOTH RD",
            "address_2": "SUITE 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03109",
            "telephone_number": "603-623-8003",
            "fax_number": "603-623-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAMMOTH RD",
            "address_2": "SUITE 1",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03109",
            "telephone_number": "603-623-8003",
            "fax_number": "603-623-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-623-8003",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mehan and Johnson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erik Bertram Johannessen, MSSS
• Kellie Johansen, LCMHC
• Jinu Jacob John, M.D.
• Meaghan Colleen Johns, LICSW
• Johnson ABA Consulting, LLC
• Charlotte Johnson, LCMHC
• Daniel Scott Johnson Jr., MS, BCBA, LABA
• Dawn Irene Johnson, PA-C
• Douglas B. Johnson, PSY.D.
• Holly Johnson, LICSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Manchester, NH
• Providers in Manchester, NH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.