Active NPI
Joseph Johnson, DDS
- Dentist
- Killeen, TX
National Provider Identifier
1548334303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21311
- Practice address
- Longhorn Dental 3106 South WS Young
Killeen, TX 76542 - Phone
- (254) 618-5050
- Fax
- (254) 618-5681
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21311 | TX | Primary |
Addresses
Primary practice location
Longhorn Dental 3106 South WS Young
Killeen, TX 76542
Mailing address
7517 Cameron Road Suite 107
Longhorn Dental Associates PC
Austin, TX 78752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21311 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548334303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7517 CAMERON ROAD SUITE 107",
"address_2": "LONGHORN DENTAL ASSOCIATES PC",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LONGHORN DENTAL 3106 SOUTH WS YOUNG",
"city": "KILLEEN",
"state": "TX",
"postal_code": "76542",
"telephone_number": "254-618-5050",
"fax_number": "254-618-5681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.