Jean D Johnson

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEAN D JOHNSON

Practice address

2201 5TH Street Hollow Rd Ste 2
Bloomsburg, PA 17815-7757

Phone

(570) 458-6731

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Jean Johnson

Title

Owner

Phone

(570) 458-6731

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Laura Elyse Spence

  • Dentist
  • Bloomsburg, PA
  • NPI 1265010870
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1427729532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 5TH STREET HOLLOW RD STE 2",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157757",
            "telephone_number": "570-458-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 5TH STREET HOLLOW RD STE 2",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157757",
            "telephone_number": "570-458-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN D JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-458-6731"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sehar Irfan
• J Eric Lefevre, DC, PC
• Leigh Jacopetti-Kondraski, D.M.D.
• JD Ferro, Inc.
• JDK Management Company, LP
• Kylie Neiderhiser Jeffrey, DC
• Randi Jennings
• John a Scerbo DDS PC
• Deborah R John, AU.D.
• Ann Johnson

• Dental Clinic/Center in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.