V O Johnson Progressive Dental DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2642 Issued in AR

Legal business name

V O JOHNSON PROGRESSIVE DENTAL DDS PA

Practice address

103 Carlton Dr
Dumas, AR 71639-2836

Phone

(870) 382-2777

Fax

(870) 382-2877

NPI assigned

Apr 5, 2016

Last updated

Dec 20, 2023By 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. Vedna O Johnson III, D.D.S.NPI 1215140777

Title

Dentist

Phone

(870) 382-2777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Vedna O Johnson, D.D.S.

  • Dentist
  • Dumas, AR
  • NPI 1215140777
  NPD Authorized official

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1578926630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CARLTON DR",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716392836",
            "telephone_number": "870-382-2777",
            "fax_number": "870-382-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARLTON DR",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716392836",
            "telephone_number": "870-382-2777",
            "fax_number": "870-382-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V O JOHNSON PROGRESSIVE DENTAL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VEDNA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "870-382-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212260631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debora Stevens
• Cheryl R. Stimson, P.D.
• Sandy Tatum
• Thomas L Lewellen DO PA
• Dominique Thompson, MHPP
• Hannah Vanhorn
• Judith F Warmbold, LPC
• Belvia C. Wilkins, LCSW
• Will and Lace in Home Care, LLC
• Peyton Williams

• General Practice Dentistry in Dumas, AR
• Providers in Dumas, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.