M.S. Johnson PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2176 Issued in ND

Legal business name

M.S. JOHNSON PC

Practice address

117 N Washington St
Grand Forks, ND 58203-3450

Phone

(701) 746-1481

Fax

(701) 746-6201

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Scott Johnson, DDS

Title

President

Phone

(701) 746-1481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1568903243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033450",
            "telephone_number": "701-746-1481",
            "fax_number": "701-746-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033450",
            "telephone_number": "701-746-1481",
            "fax_number": "701-746-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.S. JOHNSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-746-1481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.