Brandon Johnson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

35499 Issued in TX

Practice address

15534 Ranch Road 620 N Ste 300
Austin, TX 78717-5277

Phone

(512) 580-9200

NPI assigned

Jul 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Brandon Johnson DMD PLLC

  • Dental Clinic/Center
  • Austin, TX
  • NPI 1306457791
  NPD Authorized official
• Killian Dentistry, PC

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1275051054
  NPD (past)

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

{
    "created_epoch": "1530403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1477049500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 ROBERTS BRANCH PKWY STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039148",
            "telephone_number": "803-339-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15534 RANCH ROAD 620 N STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175277",
            "telephone_number": "512-580-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 Roberts Branch Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292039148",
            "country_code": "US",
            "telephone_number": "803-339-8542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 S Mo Pac Expy Unit 470",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465776",
            "country_code": "US",
            "telephone_number": "512-327-6947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-01",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9150",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurealia Johnson
• Benjamin Johnson, MD
• Benjamin Adam Johnson, LCSW
• Benjamin S Johnson, LMFT
• Brad David Johnson, PT
• Breanna Johnson, M.S. CCC-SLP
• Brittany Johnson
• Cameron Robert Johnson, DC
• Chad Johnson
• Charles E Johnson, MD

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.