John S Johnson, DDS, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JOHN S JOHNSON, DDS, PA

Practice address

5102 Salem Ave
Lubbock, TX 79414-4036

Phone

(806) 687-8080

Fax

(806) 771-6862

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Scott Johnson, DDS

Title

Owner/President

Phone

(806) 687-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John S Johnson, DDS Doing business as

Tax ID family

John S Johnson DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• South Plains Pediatric Dental Group

  • Pediatric Dentistry
  • Lubbock, TX
  • NPI 1972742302
  NPD tax ID

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1487930129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 SALEM AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144036",
            "telephone_number": "806-687-8080",
            "fax_number": "806-771-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 SALEM AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144036",
            "telephone_number": "806-687-8080",
            "fax_number": "806-771-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S JOHNSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "806-687-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111208802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John S Johnson, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Cobb, M.D., PLLC
• John E Streit MD PA
• John Halsey Pharmacy
• John M.Turnbow, M.D., P.a.
• John R Smyer MD PLLC
• John Vinings, DDS, P.a.
• John W Epperson, D.D.S., P.a.
• John Walter Michels; Step by Step Counseling Services
• Johnny Qubty, MD,PA
• Stephanie Johnsey, APRN

• Pediatric Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.