S. Meredith Johnson, Jr., D.M.D. PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6785 Issued in IN

Legal business name

S. MEREDITH JOHNSON, JR., D.M.D. PC

Practice address

2946 E 10TH St
Building B
Jeffersonville, IN 47130-5914

Phone

(812) 288-8880

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By 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

Dr. S. Meredith Johnson Jr., D.M.D.

Title

Doctor

Phone

(812) 288-8880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437274883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 E 10TH ST",
            "address_2": "BUILDING B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305914",
            "telephone_number": "812-288-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E 10TH ST",
            "address_2": "BUILDING B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471305914",
            "telephone_number": "812-288-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. MEREDITH JOHNSON, JR., D.M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "812-288-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "6785",
            "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 Aug 22, 2020; 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.