Johnson Dental Arts P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D11928 Issued in MN

Legal business name

JOHNSON DENTAL ARTS P.A.

Doing business as

Serenity Dental Arts

Practice address

505 Woodley St W
Northfield, MN 55057-1681

Phone

(507) 645-9669

Fax

(507) 645-8341

NPI assigned

Sep 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Paul Johnson, D.D.S.

Title

Dentist/Owner/President

Phone

(507) 645-9669

Specialties & licenses 1

Addresses

Other names 1

• Serenity Dental Arts Doing business as

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1568612174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WOODLEY ST W",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571681",
            "telephone_number": "507-645-9669",
            "fax_number": "507-645-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WOODLEY ST W",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571681",
            "telephone_number": "507-645-9669",
            "fax_number": "507-645-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DENTAL ARTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "507-645-9669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Huska, PHARMD
• Denise Marie Intihar-Lum, F.N.P.
• Pamala Wood Jacobel, PH.D., L.P.
• Katie Jacobi
• Brandon Jentink, LAT, ATC
• Aaron Johnson, D.D.S.
• Amber Johnson, MA
• Becky S Johnson, D.D.S.
• Kristi Anne Johnson, D.D.S.
• Miranda M Johnson

• General Practice Dentistry in Northfield, MN
• Providers in Northfield, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.