Individual provider Active NPI

John William Johnson, DDS

  • Dentist
  • New Albany, OH
National Provider Identifier
1366680381
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17660 Issued in OH
Practice address
5121 Forest Dr
Suite a
New Albany, OH 43054-7085
Phone
(614) 775-9300
Fax
(614) 775-9309
NPI assigned
Jan 29, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 17660 OH Primary

Addresses

Primary practice location

5121 Forest Dr
Suite a
New Albany, OH 43054-7085

Mailing address

5121 Forest Dr
Suite a
New Albany, OH 43054-7085
Phone (614) 775-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17660OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4352/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/4869/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1366680381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 FOREST DR",
            "address_2": "SUITE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547085",
            "telephone_number": "614-775-9300",
            "fax_number": "614-775-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 FOREST DR",
            "address_2": "SUITE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547085",
            "telephone_number": "614-775-9300",
            "fax_number": "614-775-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "17660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.