Jay a Johnson DDS LTD

Primary specialty

DentistTaxonomy code 122300000X

License

2320 Issued in NV

Legal business name

JAY A JOHNSON DDS LTD

Practice address

3220 N Bronco St
Ste 102
Las Vegas, NV 89108-4863

Phone

(702) 396-2223

Fax

(702) 396-7805

NPI assigned

Apr 25, 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

Jay A Johnson, DDS

Title

Owner

Phone

70239622223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639398597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 N BRONCO ST",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084863",
            "telephone_number": "702-396-2223",
            "fax_number": "702-396-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N BRONCO ST",
            "address_2": "STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891084863",
            "telephone_number": "702-396-2223",
            "fax_number": "702-396-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY A JOHNSON DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "70239622223",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• 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.