Monique Olivia Johnson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN015512 Issued in GA

Practice address

3752 Cascade Rd SW Ste 190
Atlanta, GA 30331-2149

Phone

(678) 836-2118

NPI assigned

Feb 16, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1518326727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 LOWN FARM TRAIL",
            "address_2": "DEPT OF DENTISTRY-6TH FLOOR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588202",
            "telephone_number": "678-215-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 CASCADE RD SW STE 190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312149",
            "telephone_number": "678-836-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONIQUE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Deloach Johnson, SLP
• Michelle Oluwadamilola Johnson
• Miesha Johnson, CNA CMT
• Miranda Johnson, RBT
• Monet Johnson, MD
• Nakita Johnson, RBT
• Natasha Rose Johnson
• Nathaniel Johnson III, M.D.
• Nikiya Johnson
• Nikki T Johnson, LCSW

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.