Organization Active NPI

Randall J Johnson DDS Ms PC

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1417423971
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RANDALL J JOHNSON DDS MS PC
Practice address
7600 E Camelback Rd Ste 4
Scottsdale, AZ 85251-2106
Phone
(480) 947-7477
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Dr. Randall J Johnson, DDSNPI 1457568602
Title
President
Phone
(480) 947-7477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7600 E Camelback Rd Ste 4
Scottsdale, AZ 85251-2106

Mailing address

7600 E Camelback Rd Ste 4
Scottsdale, AZ 85251-2106
Phone (480) 947-7477

National Provider Directory

National Provider Directory

Locations

7600 E Camelback Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 947-7477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1417423971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-947-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E CAMELBACK RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512106",
            "telephone_number": "480-947-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL J JOHNSON DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-947-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.