Dr. Frederick a. Johnson Jr DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. FREDERICK A. JOHNSON JR DDS, INC

Practice address

508 S Harbor Blvd
Fullerton, CA 92832-2411

Phone

(714) 770-0455

NPI assigned

Mar 19, 2019

Organization subpart

No

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

Authorized official

Name

Frederick Anthony Johnson, DDS

Title

Dentist

Phone

(707) 362-3372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1578022323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322411",
            "telephone_number": "714-770-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928322411",
            "telephone_number": "714-770-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FREDERICK A. JOHNSON JR DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-362-3372",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.