Individual provider Active NPI

Sharon Elizabeth Johnson, D.M.D.

  • Periodontics
  • Bedford, NH
National Provider Identifier
1336170778
Registry record updated May 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
3509 Issued in NH
Practice address
207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone
(603) 625-2193
Fax
(603) 669-9100
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 3509 NH Primary

Addresses

Primary practice location

207 Meetinghouse Rd
Bedford, NH 03110-6090

Mailing address

207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone (603) 625-2193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20151221002028 NH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8325349111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1336170778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MEETINGHOUSE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106090",
            "telephone_number": "603-625-2193",
            "fax_number": "603-669-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MEETINGHOUSE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106090",
            "telephone_number": "603-625-2193",
            "fax_number": "603-669-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NH",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.