Johnson Dentistry Center, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

21064 Issued in TX

Legal business name

JOHNSON DENTISTRY CENTER, P.A.

Doing business as

Johnson Dentistry

Practice address

3702 Coppercrest Drive
Bryan, TX 77802

Phone

(979) 774-7500

Fax

(979) 774-7071

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By 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. John Albert Johnson Jr., D.D.S.NPI 1366867426

Title

President

Phone

(979) 774-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Johnson Dentistry Doing business as

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.

• John Albert Johnson Jr., D.D.S.

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1366867426
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578771408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 ROCKCLIFFE LOOP",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 COPPERCREST DRIVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-774-7500",
            "fax_number": "979-774-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON DENTISTRY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-774-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY #",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "21064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JJ's Helping Hands of Texas
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• John R Pierce Jr LLC (Goal Pediatrics Orthotics)
• Insley John-Baptiste, RBT
• Brenda Johnson
• Drew A Johnson, D.C.
• Eva Patrice Johnson, MD
• Gary Alan Johnson, P.T.
• Jacob Aaron Johnson, MSN, FNP-C

• Dentist in Bryan, TX
• Providers in Bryan, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.