Archana Manohar Johnson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

13166 Issued in MD

Practice address

17904 Georgia Ave
Suite 101
Olney, MD 20832-2239

Phone

(301) 963-1900

Fax

(301) 963-1901

NPI assigned

Jan 22, 2008

Last updated

Jan 22, 2008By the provider in NPPES

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 MD

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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1548447519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE",
            "address_2": "SUITE 101",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322239",
            "telephone_number": "301-963-1900",
            "fax_number": "301-963-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE",
            "address_2": "SUITE 101",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322239",
            "telephone_number": "301-963-1900",
            "fax_number": "301-963-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ARCHANA",
        "middle_name": "MANOHAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "13166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Yvette Jimenez
• Jlu Behavioral Health Services (Janice Ulrich, LCPC)
• John R Ring DC PA (Olney Chiropractic Center)
• Maria Johnsen, MSW, LCSW-C
• Peter Johnsen, LMSW
• Ashley Johnson
• Kendall Isaiah Johnson
• Yumi Jono
• Joseph S Buffington MD
• Grace Juan, D.D.S.

• Dentist in Olney, MD
• Providers in Olney, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.