Active NPI
Hannah C Johnson, DMD
- Dentist
- Charlotte, NC
National Provider Identifier
1619652146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13291
- Practice address
- 300 Billingsley Rd Ste 202
Charlotte, NC 28211-3092 - Phone
- (832) 628-5339
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13291 | NC | Primary |
Addresses
Primary practice location
300 Billingsley Rd Ste 202
Charlotte, NC 28211-3092
Mailing address
2512 Kenmore Ave
Charlotte, NC 28204-4326
Phone (832) 628-5339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1619652146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 KENMORE AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282044326",
"telephone_number": "832-628-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 BILLINGSLEY RD STE 202",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282113092",
"telephone_number": "832-628-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HANNAH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "13291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.