Dennis Keith Johnson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12666 Issued in TX

Practice address

3081 Hwy. 31 East
Tyler, TX 75702

Phone

(903) 533-9797

Fax

(903) 533-9539

NPI assigned

Dec 2, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affordable Dentures & Implants - Texas III, PLLC

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1093502429
  NPD (past)
• Affordable Dentures & Implants - Texas, PLLC

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1902791080
  NPD (past)

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1346671336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 HWY. 31 EAST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-533-9797",
            "fax_number": "903-533-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 HWY. 31 EAST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75702",
            "telephone_number": "903-533-9797",
            "fax_number": "903-533-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENNIS",
        "middle_name": "KEITH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "12666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Harrell Johnson
• Courtney Johnson
• Crystal Duane Johnson, M.S.
• David Michael Johnson, O.D.
• Denetrius Johnson
• Gregor Johnson
• Guerda Johnson, NP
• Janet Johnson
• Janice Johnson, RNC, BSN
• Jason Bradley Johnson, NP-C

• Dentist in Tyler, TX
• Providers in Tyler, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.