Organization Active NPI

Damon R. Johnson, DDS, PC

  • General Practice Dentistry
  • Edmond, OK
National Provider Identifier
1538308259
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5114 Issued in OK
Legal business name
DAMON R. JOHNSON, DDS, PC
Practice address
1400 W. Covell Road
Edmond, OK 73003-3504
Phone
(405) 348-6161
Fax
(405) 330-2032
NPI assigned
Feb 19, 2009
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Damon Robert Johnson, D.D.S.NPI 1235264086
Title
Owner
Phone
(405) 348-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5114 OK Primary

Addresses

Primary practice location

1400 W. Covell Road
Edmond, OK 73003-3504

Mailing address

1400 W. Covell Road
Edmond, OK 73003-3504
Phone (405) 348-6161

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2182727Damon R Johnson, DDS, PC1400 W Covell Rd, Edmond, OK 73003Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

Locations

1400 W Covell Rd
Edmond, OK 73003
Phone (405) 348-6161

Practitioners & affiliated clinicians

Practitioners 5

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": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1538308259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W. COVELL ROAD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033504",
            "telephone_number": "405-348-6161",
            "fax_number": "405-330-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W. COVELL ROAD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033504",
            "telephone_number": "405-348-6161",
            "fax_number": "405-330-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON R. JOHNSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-348-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.