Eric Martin Johnsen, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN 1945 Issued in RI

Practice address

880 E Main Rd
Portsmouth, RI 02871-2340

Phone

(401) 683-5855

Fax

(401) 683-5855

NPI assigned

Mar 26, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eric M Johnsen DMD, Inc

  • Dentist
  • Portsmouth, RI
  • NPI 1740413657
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598883092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712340",
            "telephone_number": "401-683-5855",
            "fax_number": "401-683-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712340",
            "telephone_number": "401-683-5855",
            "fax_number": "401-683-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "ERIC",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN 1945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EJ01259",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jocelyn Arruda
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• General Practice Dentistry in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.