Edward L. Johnson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5483 Issued in KY

Practice address

928 State Route 716
Ashland, KY 41102-9231

Phone

(606) 928-3866

Fax

(606) 928-3848

NPI assigned

Sep 15, 2006

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

Other identifiers 3

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487750964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 STATE ROUTE 716",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029231",
            "telephone_number": "606-928-3866",
            "fax_number": "606-928-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 STATE ROUTE 716",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029231",
            "telephone_number": "606-928-3866",
            "fax_number": "606-928-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EDWARD",
        "middle_name": "L.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "531257",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60054830",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Y461",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Morton, O.D.,P.S.C.
• Winfield Clinton John III, DMD
• Arianna Johnson
• Audrey Johnson
• Dana Allen Johnson, M.D.
• Emma Soleil Johnson, C/OTAL
• Jennifer Kelley Johnson
• Jeremiah Johnson
• Kellee Johnson, APRN, FNP, BSN, RN
• Kevin Johnson

• General Practice Dentistry in Ashland, KY
• Providers in Ashland, KY by specialty
• General Practice Dentistry in Kentucky

• 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.