Teleshia Danielle Johnson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4468-24 Issued in MS

Practice address

201 Riverwind Dr
Pearl, MS 39208-5653

Phone

(601) 955-9549

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1487498929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 KATHRYN DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390429625",
            "telephone_number": "601-926-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIVERWIND DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085653",
            "telephone_number": "601-955-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TELESHIA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "4468-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jackson, FNP-C
• Jacksonbracey Health Care
• Jessica Johnson, CPHT
• Joyce M Johnson, MN, RN, CFNP
• Kurt Darwin Johnson, MD
• Joseph Joseph Joseph, O.D.
• Shireisla Denae Kelly, NP
• Key Dental Group of Pearl LLC
• Kids First Pediatric & Adult Medicine, LLC
• Olivia Kincaid

• General Practice Dentistry in Pearl, MS
• Providers in Pearl, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.