NPIMap

Organization Active NPI

Steven G. Johnson Dental Corporation

Doing business as Johnson Family Dental

  • General Practice Dentistry
  • Santa Maria, CA
National Provider Identifier
1477119956
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEVEN G. JOHNSON DENTAL CORPORATION
Doing business as
Johnson Family Dental
Practice address
745 E Betteravia Rd
Santa Maria, CA 93454-7024
Phone
(805) 456-1235
NPI assigned
May 10, 2019
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Authorized official

Name
Amy Buttery
Title
Operations Support Manager
Phone
(805) 456-1235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

745 E Betteravia Rd
Santa Maria, CA 93454-7024

Mailing address

745 E Betteravia Rd
Santa Maria, CA 93454-7024
Phone (805) 456-1235

Other names 1

  • Johnson Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Johnson Family Dental11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

745 E Betteravia Rd
Santa Maria, CA 93454
Phone (805) 456-1235

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1477119956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 E BETTERAVIA RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547024",
            "telephone_number": "805-456-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E BETTERAVIA RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547024",
            "telephone_number": "805-456-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G. JOHNSON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "BUTTERY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OPERATIONS SUPPORT MANAGER",
        "authorized_official_telephone_number": "805-456-1235"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.