Quanda Zavette Johnson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017738 Issued in MI

Practice address

25101 Coolidge Hwy
Oak Park, MI 48237-1404

Phone

(248) 547-9626

Fax

(248) 547-0608

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508993288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371404",
            "telephone_number": "248-547-9626",
            "fax_number": "248-547-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 COOLIDGE HWY",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371404",
            "telephone_number": "248-547-9626",
            "fax_number": "248-547-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "QUANDA",
        "middle_name": "ZAVETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson & Johnson P.T. L.L.C
• Johnson Dialysis Management, LLC
• Anthony Walter-Lewis Johnson
• Carla B Johnson
• Izzal Thomas Johnson, LMT
• Sharon Johnson
• Terrance Roderick Johnson
• Audrey Marie Jones
• Esperanza Jones
• William Luke Jordan, M.D.

• General Practice Dentistry in Oak Park, MI
• Providers in Oak Park, MI by specialty
• General Practice Dentistry in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.