Active NPI
Richard A Johnson, DDS
- Dentist
- Green Valley, AZ
National Provider Identifier
1376788489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4676
- Practice address
- 75 Calle de Las Tiendas
Ste 125B
Green Valley, AZ 85614 - Phone
- (520) 399-4000
- Fax
- (520) 296-0558
- NPI assigned
- Dec 4, 2008
- Last updated
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4676 | AZ | Primary |
Addresses
Primary practice location
75 Calle de Las Tiendas
Ste 125B
Green Valley, AZ 85614
Mailing address
75 Calle de Las Tiendas
Ste 125B
Green Valley, AZ 85614
Phone (520) 399-4000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Dental Partners | Past | Accepting new patients | |
| RJ Dental Partners LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Green Valley, AZ
- NPI 1104394931
-
dba Johnson Dental
- General Practice Dentistry
- Green Valley, AZ
- NPI 1972438364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1376788489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 CALLE DE LAS TIENDAS",
"address_2": "STE 125B",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-399-4000",
"fax_number": "520-296-0558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CALLE DE LAS TIENDAS",
"address_2": "STE 125B",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "85614",
"telephone_number": "520-399-4000",
"fax_number": "520-296-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-04",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "4676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.