Granville Woodworth Johnson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5002 Issued in VA

Practice address

4118 E Parham Rd
Richmond, VA 23228-2742

Phone

(804) 266-4499

Fax

(804) 261-4801

NPI assigned

Jul 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467466516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282742",
            "telephone_number": "804-266-4499",
            "fax_number": "804-261-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 E PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232282742",
            "telephone_number": "804-266-4499",
            "fax_number": "804-261-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GRANVILLE",
        "middle_name": "WOODWORTH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Johnson
• Emily Z Johnson, SLP
• Evette Johnson, FNP
• Gloria Omar Johnson
• Grace Johnson
• Jacqueline Deborah Johnson I
• Jade Johnson
• Jane Johnson, PT
• Jasmine Johnson
• Javaughn Johnson

• General Practice Dentistry in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Dentistry in Virginia

• 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.