Active NPI
Elizabeth K. Johnson, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Columbus, OH
National Provider Identifier
1457460511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 30-022372
- Practice address
- 1900 Crown Park CT Ste a
Columbus, OH 43235-2407 - Phone
- (614) 451-1402
- Fax
- (614) 451-1409
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-022372 | OH | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30-022372 | OH | Primary |
Addresses
Primary practice location
1900 Crown Park CT Ste a
Columbus, OH 43235-2407
Mailing address
1900 Crown Park CT Ste a
Columbus, OH 43235-2407
Phone (614) 451-1402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-022372 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457460511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 CROWN PARK CT STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352407",
"telephone_number": "614-451-1402",
"fax_number": "614-451-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 CROWN PARK CT STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432352407",
"telephone_number": "614-451-1402",
"fax_number": "614-451-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELIZABETH",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-022372",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "30-022372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.