Organization Active NPI

Jasenna Johnson, DDS, PLLC

  • Dental Clinic/Center
  • Siler City, NC
National Provider Identifier
1629606702
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JASENNA JOHNSON, DDS, PLLC
Practice address
422 N Holly Ave
Siler City, NC 27344-3063
Phone
(919) 799-7100
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Jasenna JohnsonNPI 1750711818
Title
Orthodontist/Owner
Phone
(919) 799-7100

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

422 N Holly Ave
Siler City, NC 27344-3063

Mailing address

422 N Holly Ave
Siler City, NC 27344-3063
Phone (919) 799-7100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.chathamorthonc.com

National Provider Directory

National Provider Directory

Locations

422 N Holly Ave
Siler City, NC 27344
Phone (919) 742-2392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1629606702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N HOLLY AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443063",
            "telephone_number": "919-799-7100",
            "fax_number": "919-766-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N HOLLY AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443063",
            "telephone_number": "919-799-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASENNA JOHNSON, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASENNA",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "919-799-7100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chathamorthonc.com",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "address_1": "422 N Holly Ave",
            "city": "Siler City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273443063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.