Everett R. Johnson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3129 Issued in NH

Legal business name

EVERETT R. JOHNSON

Practice address

734 N Main St
Laconia, NH 03246-2777

Phone

(603) 524-8159

Fax

(603) 524-4506

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Everett Rogers Johnson, DMD

Title

Dentist

Phone

(603) 524-8159

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497956247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462777",
            "telephone_number": "603-524-8159",
            "fax_number": "603-524-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462777",
            "telephone_number": "603-524-8159",
            "fax_number": "603-524-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT R. JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-524-8159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Laconia, NH
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.