Organization Active NPI

Damon L Johnson, DDS, PC

  • Dentist
  • Yukon, OK
National Provider Identifier
1487804449
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5975 Issued in OK
Legal business name
DAMON L JOHNSON, DDS, PC
Practice address
340 W Vandament Ave
Yukon, OK 73099-4640
Phone
(405) 354-6999
NPI assigned
Sep 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Damon Louis Johnson, D.D.S.
Title
Dentist
Phone
(405) 409-1048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5975 OK Primary

Addresses

Primary practice location

340 W Vandament Ave
Yukon, OK 73099-4640

Mailing address

340 W Vandament Ave
Yukon, OK 73099-4640
Phone (405) 354-6999

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1487804449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994640",
            "telephone_number": "405-354-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W VANDAMENT AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730994640",
            "telephone_number": "405-354-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON L JOHNSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-409-1048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.