Allen Gunnar Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-DEN-LIC7779 Issued in MT

Practice address

121 N Last Chance Gulch
Helena, MT 59601-4159

Phone

(406) 443-5526

NPI assigned

Jun 13, 2014

Sex

Male

Sole proprietor

No

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

Enrolled in MT

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.

• Associated Dental Care of Helena, PLLC

  • Dental Clinic/Center
  • Helena, MT
  • NPI 1376812982
  NPD (past)
• Kiesling Dental Associates P.C.

  • Dental Clinic/Center
  • Helena, MT
  • NPI 1366561375
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1417361833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N DAVIS ST APT B",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013776",
            "telephone_number": "406-560-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014159",
            "telephone_number": "406-443-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALLEN",
        "middle_name": "GUNNAR",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-7779",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC7779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Kassay Job, MS, GC
• Christopher Michael Jobes, PA-C
• John E Smith D M D PC
• John M Mott PC
• Dory Johnson Henderson
• Caryn Leigh Johnson, LCPC
• Curtis David Johnson, PHARMD, RPH
• Dale Gilman Johnson, MD
• Elizabeth Ann Johnson, CNP
• Joelle Johnson

• General Practice Dentistry in Helena, MT
• Providers in Helena, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.