Robert D Johnson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4948 Issued in OR

Practice address

809 SW Court Ave
Pendleton, OR 97801-1910

Phone

(541) 276-3241

Fax

(541) 276-6423

NPI assigned

Jul 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366456857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SW COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011910",
            "telephone_number": "541-276-3241",
            "fax_number": "541-276-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SW COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978011910",
            "telephone_number": "541-276-3241",
            "fax_number": "541-276-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Annette Johnson
• Jeremy Johnson
• Katherine Michelle Johnson
• Lisa Ruth Johnson, NP-C
• Mary A. Johnson, PH.D., LPC
• Robert G Johnson Jr., M.D.
• Tyler Patrick Johnson
• Wyatt Johnson, ABOC
• Charles E Johnston, MD
• Kati Jokinen, CADCII, CRM, QMHA

• General Practice Dentistry in Pendleton, OR
• Providers in Pendleton, OR by specialty
• General Practice Dentistry in Oregon

• 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.