Mary H. Johns, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3815 Issued in TN

Practice address

121 S Washington Ave
Cookeville, TN 38501-3547

Phone

(931) 528-6547

Fax

(931) 528-3895

NPI assigned

Sep 21, 2006

Sex

Female

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

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356440150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 LAKESHORE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385066277",
            "telephone_number": "931-526-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WASHINGTON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013547",
            "telephone_number": "931-528-6547",
            "fax_number": "931-528-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "MARY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Jane Jetter, R.N.
• Deborah Jiang, M.D.
• Maria Guadalupe Jimenez, LPN
• John B. Averitt, PH.D., Licensed Psychologist
• Judith T Johns, NP-BC
• Stephen J. Johns Sr., D.D.S.
• Alicia Johnson, LPN
• Amy S. Johnson, M.D.
• Andrew David Johnson, M.D.
• Ben Johnson, DC

• General Practice Dentistry in Cookeville, TN
• Providers in Cookeville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.