Johnson Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOHNSON PEDIATRIC DENTISTRY

Practice address

772 N Dixie Dr Ste 101
St George, UT 84770-7444

Phone

(435) 628-0511

Fax

(435) 215-2815

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Dusti Farr

Title

Office Manager

Phone

(435) 628-0511

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody S Johnson, D.M.D.

  • Pediatric Dentistry
  • St George, UT
  • NPI 1023265170
  NPD
• Mason Bart Smith

  • Pediatric Dentistry
  • St George, UT
  • NPI 1063266997
  NPD (past)

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1578386629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 N DIXIE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707444",
            "telephone_number": "435-628-0511",
            "fax_number": "435-215-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 N DIXIE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707444",
            "telephone_number": "435-628-0511",
            "fax_number": "435-215-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "DUSTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-628-0511"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linsey Johansen
• Matthew Trent Johansen, PT
• Leanne Johanson
• John K Reis MD PC
• Katina Ann Johnatakis
• Ada Johnson
• Alicia Johnson
• Benjamin John Johnson, PT
• Brannon Johnson
• Chayse Elaine Johnson

• Dental Clinic/Center in St George, UT
• Providers in St George, UT by specialty
• Dental Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.