Robert W Johnson, D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN7425 Issued in FL

Legal business name

ROBERT W JOHNSON, D.D.S., INC

Practice address

1200 S 14TH St
Fernandina Beach, FL 32034-3043

Phone

(904) 261-0851

Fax

(904) 261-5002

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert JohnsonNPI 1962556480

Title

Owner

Phone

(904) 261-0851

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Johnson

  • General Practice Dentistry
  • Fernandina Beach, FL
  • NPI 1962556480
  NPD (past) Authorized official
• Brittany Nicole Day, DDS

  • Dentist
  • Macclenny, FL
  • NPI 1831541572
  NPD (past)
• Benjamin Nolan Diller, D.D.S.

  • General Practice Dentistry
  • Fernandina Beach, FL
  • NPI 1073801510
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366657041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S 14TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343043",
            "telephone_number": "904-261-0851",
            "fax_number": "904-261-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W JOHNSON, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-261-0851"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Richardson, PTA
• Nathaniel B Rieveschl
• Brooke Leigh Rimondi, LMHC
• Suzi Willis Ring, R,MR
• Donald Macgillivray Ritchey, MD
• Barbara Roberts, BCBA, ED.D, MA, SPED
• Capritta Roberts, D.O.
• Rocky Mountain Holdings, LLC (Baptist LifeFlight)
• Henry Dewitt Rodeffer, M.D.
• Suellen Rodeffer, DDS

• General Practice Dentistry in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Aug 22, 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.