Organization Active NPI

James Clark Johnson, Jr., DDS, PA

  • Dental Clinic/Center
  • Morehead City, NC
National Provider Identifier
1639405269
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7778 Issued in NC
Legal business name
JAMES CLARK JOHNSON, JR., DDS, PA
Doing business as
Johnson Family Dentistry
Practice address
3606 Medical Park CT
Morehead City, NC 28557-4347
Phone
(252) 247-0500
Fax
(252) 726-5964
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Authorized official

Name
Dr. James Clark Johnson Jr., DDSNPI 1710055181
Title
Owner
Phone
(252) 247-0500

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 7778 NC Primary

Addresses

Primary practice location

3606 Medical Park CT
Morehead City, NC 28557-4347

Mailing address

3606 Medical Park CT
Morehead City, NC 28557-4347
Phone (252) 247-0500

Other practice location 1

5380 Highway 70 W Ste D
Morehead City, NC 28557-4526
Phone (252) 247-0500

Other practice location 2

409 N 35th St
Morehead City, NC 28557-3107
Phone (252) 247-5000

Other names 1

  • Johnson Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3606 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-0500

409 N 35th St
Morehead City, NC 28557
Phone (252) 247-5000

Practitioners & affiliated clinicians

Practitioners 3

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": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1639405269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574347",
            "telephone_number": "252-247-0500",
            "fax_number": "252-726-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574347",
            "telephone_number": "252-247-0500",
            "fax_number": "252-726-5964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5380 Highway 70 W Ste D",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285574526",
            "country_code": "US",
            "telephone_number": "252-247-0500",
            "fax_number": "252-247-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 N 35th St",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285573107",
            "country_code": "US",
            "telephone_number": "252-247-5000",
            "fax_number": "252-726-5964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES CLARK JOHNSON, JR., DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-247-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Johnson Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.