Brian Lafe Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

373716 Issued in UT

Practice address

7478 Campus View Dr Ste 200
West Jordan, UT 84084-1969

Phone

(801) 282-5112

Fax

(801) 282-5114

NPI assigned

Feb 26, 2007

Last updated

Apr 1, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1366578379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7478 S. CAMPUS VIEW DRIVE #200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84095",
            "telephone_number": "801-282-5112",
            "fax_number": "801-282-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7478 CAMPUS VIEW DR STE 200",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840841969",
            "telephone_number": "801-282-5112",
            "fax_number": "801-282-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "LAFE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "373716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Ryan Johansen, D.D.S.
• Richard Bart Johansen, MD
• Richard Eric Johansen, DDS
• John R. Ayre, Jr. DDS PC (a child's smile)
• Blake Wilson Johnson, D.O.
• Chloe Johnson
• Dana L Johnson
• Daniel Thomas Johnson, D.V.M.
• Heather Johnson, DPT
• Jack Johnson

• General Practice Dentistry in West Jordan, UT
• Providers in West Jordan, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.