NPIMap

Organization Active NPI

Steven G. Johnson Dental Corporation

  • General Practice Dentistry
  • San Luis Obispo, CA
National Provider Identifier
1316451784
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEVEN G. JOHNSON DENTAL CORPORATION
Practice address
225 N Santa Rosa St
San Luis Obispo, CA 93405-1324
Phone
(805) 534-3747
NPI assigned
Nov 21, 2017
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Amy Buttery
Title
Operations Support Manager
Phone
(805) 456-1235

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

225 N Santa Rosa St
San Luis Obispo, CA 93405-1324

Mailing address

225 N Santa Rosa St
San Luis Obispo, CA 93405-1324
Phone (805) 534-3747

National Provider Directory

National Provider Directory
Tax ID family
Johnson Family Dental11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1316451784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051324",
            "telephone_number": "805-534-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N SANTA ROSA ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051324",
            "telephone_number": "805-534-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. JOHNSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT MANAGER",
        "authorized_official_telephone_number": "805-456-1235"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.