Dr. Robert W. Johnson, L.L.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. ROBERT W. JOHNSON, L.L.C.

Practice address

515 W Waddil St
Post Office Box 307
Marksville, LA 71351-2648

Phone

(318) 253-5141

Fax

(318) 240-8735

NPI assigned

Jun 30, 2010

Last updated

Jun 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Allen Johnson

Title

Director

Phone

(318) 253-0935

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1427369891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W WADDIL ST",
            "address_2": "POST OFFICE BOX 307",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512648",
            "telephone_number": "318-253-5141",
            "fax_number": "318-240-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W WADDIL ST",
            "address_2": "POST OFFICE BOX 307",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512648",
            "telephone_number": "318-253-5141",
            "fax_number": "318-240-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT W. JOHNSON, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-253-0935"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.