Active NPI
Jasmine Johnson
- Dentist
- La Porte, TX
National Provider Identifier
1346722345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34475
- Practice address
- 9001 Spencer Hwy Ste J
La Porte, TX 77571-3897 - Phone
- (281) 394-0517
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34475 | TX | |
| Dentist | 122300000X | 34475 | TX | Primary |
Addresses
Primary practice location
9001 Spencer Hwy Ste J
La Porte, TX 77571-3897
Mailing address
1911 Holcombe Blvd Apt 1305
Houston, TX 77030-4188
Other practice location 1
3600 Fm 1488 Rd Ste 90
Conroe, TX 77384-3818
Phone (936) 271-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34475 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodlands Smiles Dentistry and Orthodontics, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Conroe, TX
- NPI 1154678787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1346722345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 HOLCOMBE BLVD APT 1305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 SPENCER HWY STE J",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775713897",
"telephone_number": "281-394-0517"
}
],
"practiceLocations": [
{
"address_1": "3600 Fm 1488 Rd Ste 90",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773843818",
"country_code": "US",
"telephone_number": "936-271-5440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34475",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Porte, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.