Dennis Allen Johnson, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

D5272 Issued in OR

Practice address

5726 W Orchid LN
Glendale, AZ 85302-4654

Phone

(503) 816-0771

NPI assigned

Jul 7, 2006

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1316979537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5726 W ORCHID LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024654",
            "telephone_number": "503-816-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5726 W ORCHID LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024654",
            "telephone_number": "503-816-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENNIS",
        "middle_name": "ALLEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OR",
            "license": "D5272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Diane Johnson, BSN
• Cara Dmya Johnson
• Darry S Johnson, MD
• Darryl E Johnson, M.A., F.A,A.A.
• David C Johnson, DC, MUAC
• Eric W Johnson, PSY.D.
• Erik Johnson, OTR/L
• Kaitlyn Johnson
• Katherine Johnson, PHARM D
• Kelly Johnson, LCSW

• Public Health Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Public Health Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.