Lucien Samuel Johnson III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0013457 Issued in FL

Practice address

1951 S Alafaya TRL
Orlando, FL 32828-8732

Phone

(407) 282-0002

Fax

(407) 282-1602

NPI assigned

Mar 29, 2007

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.

• Johnson Family Dentistry

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1538346424
  NPD (past) Authorized official
• Ekos Alafaya, PLLC

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1114745759
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356461081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 S ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288732",
            "telephone_number": "407-282-0002",
            "fax_number": "407-282-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 S ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288732",
            "telephone_number": "407-282-0002",
            "fax_number": "407-282-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LUCIEN",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Johnson, R.D., LD/N
• Lindsay Marie Johnson
• Lori Johnson, LMHC
• Louisa Jane Johnson
• Luana A Johnson, PA-C
• Lucien Samuel Johnson, D.M.D.
• Lyn Johnson, D.O.
• Makala Quinn Johnson, PA-C
• Makena Johnson
• Mariel Colon Johnson, LMHC

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• 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.