Gary Lafayette Johnson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11217 Issued in GA

Practice address

3915 Cascade Rd SW Ste 120
Atlanta, GA 30331-8519

Phone

(404) 472-0425

Fax

(404) 472-0669

NPI assigned

May 14, 2008

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1336316744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318519",
            "telephone_number": "404-472-0425",
            "fax_number": "404-472-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318519",
            "telephone_number": "404-472-0425",
            "fax_number": "404-472-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARY",
        "middle_name": "LAFAYETTE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "11217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Lawrence Johnson I, MPT
• Erin Johnson
• Erin T Johnson, MS, NCC
• Felicia Johnson, DA
• Francis N Johnson, PAAA
• Gentral Lavette Johnson, D.C.
• Greg Johnson
• Gregory Alan Johnson, P. A. - C.
• Gunnar Johnson
• Hannah Leigh Johnson, AGACNP-BC

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.