NPIMap

Organization Active NPI

Everett R. Johnson

  • General Practice Dentistry
  • Laconia, NH
National Provider Identifier
1497956247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Everett Rogers Johnson, DMDNPI 1275634941
Title
Dentist
Phone
(603) 524-8159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3129 NH Primary

Addresses

Primary practice location

734 N Main St
Laconia, NH 03246-2777

Mailing address

734 N Main St
Laconia, NH 03246-2777
Phone (603) 524-8159

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Laconia, NH

Sources for this page

  • 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.