Rachel R Johnson, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

D37238 Issued in CA

Practice address

440 N Mountain Ave Ste 101
Upland, CA 91786-5183

Phone

(909) 920-5001

Fax

(909) 920-5026

NPI assigned

Nov 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• DRS Ebenezer & Rachel Johnson DDS Inc

  • Dentist
  • Montclair, CA
  • NPI 1073780128
  NPD (past) Authorized official
• DRS Ebenezer & Rachel Johnson DDS Inc

  • Dentist
  • Rialto, CA
  • NPI 1578730628
  NPD (past) Authorized official
• DRS Ebenezer & Rachel Johnson DDS Inc

  • Dentist
  • Rialto, CA
  • NPI 1801085501
  NPD (past) Authorized official

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1366696262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N MOUNTAIN AVE STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865183",
            "telephone_number": "909-920-5001",
            "fax_number": "909-920-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N MOUNTAIN AVE STE 101",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865183",
            "telephone_number": "909-920-5001",
            "fax_number": "909-920-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9645 Monte Vista Ave",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917632236",
            "country_code": "US",
            "telephone_number": "909-621-6002",
            "fax_number": "909-621-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "middle_name": "R",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D37238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Upland",
            "affiliation": "N",
            "address_1": "440 N Mountain Ave Ste 101",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917865183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David M Johnson
• Deantwann Johnson
• Douglas William Johnson, DDS
• Franklin Martin Johnson Jr., D.O.
• Judith A Johnson, P.T.
• Renee Rose Johnson, MSN, RN, FNP
• Robert Johnson
• Samantha Johnson
• Stephanie Johnson, PSYD
• Suzanne Johnson, PT, MPT, OCS

• Dentist in Upland, CA
• Providers in Upland, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.