Active NPI
John Paul Johnson, D.D.S.
- General Practice Dentistry
- Hinesville, GA
National Provider Identifier
1649288820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN010850
- Practice address
- 615 W. Oglethorpe Hwy
Hinesville, GA 31313 - Phone
- (912) 877-3070
- Fax
- (912) 877-3082
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN010850 | GA | Primary |
Addresses
Primary practice location
615 W. Oglethorpe Hwy
Hinesville, GA 31313
Mailing address
P. O. Box 859
Hinesville, GA 31310
Phone (912) 877-3070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 809886 | Other | PA | UNITED CONCORDIA |
| 1469927 | Other | PA | UNITED CONCORDIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010850 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Dental Group, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Family Dentistry, John P. Johnson, D.D.S.
- General Practice Dentistry
- Hinesville, GA
- NPI 1699783837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649288820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 859",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31310",
"telephone_number": "912-877-3070",
"fax_number": "912-877-3082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W. OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "31313",
"telephone_number": "912-877-3070",
"fax_number": "912-877-3082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOHN",
"middle_name": "PAUL",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "809886",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1469927",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.