E.R. Johnson, D.D.S.,LTD.

Primary specialty

DentistTaxonomy code 122300000X

License

19018832 Issued in IL

Legal business name

E.R. JOHNSON, D.D.S.,LTD.

Doing business as

ashburn dental associates

Practice address

3637 W 83Rd PL
Chicago, IL 60652-3203

Phone

(773) 767-4030

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric R Johnson, DDSNPI 1285640391

Title

President

Phone

(773) 767-4030

Specialties & licenses 1

Addresses

Other names 1

• ashburn dental associates Doing business as

Locations

Practitioners 2

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

• Eric Robert Johnson, D.D.S.

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1285640391
  NPD (past) Authorized official
• Catherine L Eberhardt, D.D.S.

  • Dentist
  • Chicago, IL
  • NPI 1942614110
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1427248046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W. 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "773-767-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 W 83RD PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523203",
            "telephone_number": "773-767-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.R. JOHNSON, D.D.S.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-767-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19018832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ashburn dental associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.