Active NPI
Robert J. Johnson, D.D.S., P.C.
- General Practice Dentistry
- Ontonagon, MI
National Provider Identifier
1578633699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901009242
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Ontonagon, MI
- NPI 1104999069
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.