Katelin Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22D102330800 Issued in NJ

Practice address

420 Main St
Bedminster, NJ 07921-2604

Phone

(908) 781-0095

Fax

(908) 781-1170

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edward G Johnson, DMD, PC

  • General Practice Dentistry
  • Bedminster, NJ
  • NPI 1285784793
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386794808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GLENNON FARM LN",
            "city": "LEBANON",
            "state": "NJ",
            "postal_code": "088334504",
            "telephone_number": "908-295-0452",
            "fax_number": "908-781-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MAIN ST",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212604",
            "telephone_number": "908-781-0095",
            "fax_number": "908-781-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATELIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102330800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin N Jakuboski, MA, BCBA
• Janjua Facial Surgery
• Tanveer Ahmed Janjua, M.D.
• Preeti S Jha, DPT,OCS
• Edward G Johnson, DMD
• Tony Joseph, PHARM. D.
• Samantha Jozwik, PT, DPT
• Jumirean Mental Health Group LLC
• Leslie Kanter, DDS
• Barbara M Karpinski, MSW, LCSW

• General Practice Dentistry in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.