James Michael Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4714 Issued in KY

Practice address

722 Harvard Dr
Owensboro, KY 42301-6152

Phone

(270) 685-5242

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson Family Dentistry

  • Dentist
  • Owensboro, KY
  • NPI 1255752614
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447316484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-685-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 HARVARD DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016152",
            "telephone_number": "270-685-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4560852800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dasjarae Brior Johnson
• David Joseph Johnson, M.D.
• Evan Johnson
• Guscilla Johnson, RN
• Heather J. Johnson, MD
• Jordon Johnson, LMSW
• Julie B Johnson, LPCC
• Kimberly Janell Johnson
• Kyle Gregory Johnson, APRN FNP-C
• Matthew C Johnson, APRN

• General Practice Dentistry in Owensboro, KY
• Providers in Owensboro, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.