Organization Active NPI

Robert J. Johnson, D.D.S., P.C.

  • General Practice Dentistry
  • Ontonagon, MI
National Provider Identifier
1578633699
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901009242 Issued in MI
Legal business name
ROBERT J. JOHNSON, D.D.S., P.C.
Practice address
400 Lake St
Ste 101
Ontonagon, MI 49953-1034
Phone
(906) 884-4040
Fax
(906) 884-4080
NPI assigned
Nov 8, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Robert J Johnson, D.D.S.NPI 1104999069
Title
Dentist
Phone
(906) 884-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901009242 MI Primary

Addresses

Primary practice location

400 Lake St
Ste 101
Ontonagon, MI 49953-1034

Mailing address

400 Lake St
Ste 101
Ontonagon, MI 49953-1034
Phone (906) 884-4040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1578633699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKE ST",
            "address_2": "STE 101",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531034",
            "telephone_number": "906-884-4040",
            "fax_number": "906-884-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE ST",
            "address_2": "STE 101",
            "city": "ONTONAGON",
            "state": "MI",
            "postal_code": "499531034",
            "telephone_number": "906-884-4040",
            "fax_number": "906-884-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. JOHNSON, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "906-884-4040",
        "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": "MI",
            "license": "2901009242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontonagon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.