Matthew S Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10334 Issued in NC

Practice address

3732 N Roxboro St
Durham, NC 27704-2983

Phone

(919) 471-6622

NPI assigned

Jun 18, 2015

Last updated

May 14, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1386026003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N HILLSBOROUGH AVE",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782411",
            "telephone_number": "803-386-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042983",
            "telephone_number": "919-471-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 Ashe St Apt A",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294035964",
            "country_code": "US",
            "telephone_number": "803-386-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10334",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Olga Johnson, MD
• Marion J Johnson
• Mark P Johnson, PA
• Mary Ann Johnson, LMFT
• Maryjane Dowd Johnson, APRN
• Michael David Johnson, PT, DPT
• Michelle Johnson
• Monique Johnson, LCSWA
• Myah Johnson
• Nicholas Anthony Johnson

• General Practice Dentistry in Durham, NC
• Providers in Durham, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.