Individual provider Active NPI

George Howell Johnson Jr., DDS

  • General Practice Dentistry
  • Dickinson, TX
National Provider Identifier
1487681623
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15999 Issued in TX
Practice address
2108 FM 517 Rd E
George H Johnson Jr DDS Fagd
Dickinson, TX 77539-8659
Phone
(281) 337-3441
Fax
(281) 534-4944
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15999 TX Primary

Addresses

Primary practice location

2108 FM 517 Rd E
George H Johnson Jr DDS Fagd
Dickinson, TX 77539-8659

Mailing address

2108 FM 517 Rd E
George H Johnson Jr DDS Fagd
Dickinson, TX 77539-8659
Phone (281) 337-3441

Other identifiers 1

IdentifierTypeStateIssuer
11091902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608001630 TX Order and Referring Only - DentistPractitioner - Dentist 1850681529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1487681623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 FM 517 RD E",
            "address_2": "GEORGE H JOHNSON JR DDS FAGD",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398659",
            "telephone_number": "281-337-3441",
            "fax_number": "281-534-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 FM 517 RD E",
            "address_2": "GEORGE H JOHNSON JR DDS FAGD",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775398659",
            "telephone_number": "281-337-3441",
            "fax_number": "281-534-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GEORGE",
        "middle_name": "HOWELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11091902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.